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MRF-09-04 1�:58 RM RRCHER CONSTRUCTION 2508?37277 <br />� � <br />� <br />PERMIT APPLICATiON <br />CITY OF EVERETT PERMdT SERVICES <br />3200 CEDAR STREET, EVEREI7. WA 96201 <br />425-257-BB10 - FAX 425-257-6857 <br />OfTE ADORl65 <br />TRACT <br />OESC. <br />!'ARCCL TAX I.D. A <br />� LP PMONE <br />v3 — <br />P.02 <br />Tt1UNf NAML ' I CONTACT fOR ��RMIT '�e <br />BeE��)L� L L f JFE L¢cn T UUnFI �FJ1� fIJl4strl Z'S.YJ'S%Z•iiZZ - <br />CONT— RACTOR r, ADDRE53 ZIP CONTR� UClNSE N <br />AFlNf� CONSTR1iU'I WI �SS $� 20G7N S7 �OjL �RcNB/7t Z(�PR <br />253' S72•1 zZZ <br />iROPOSEO USE OF BUILDINO <br />VERMR <br />TYPE <br />CONTFtACY PR10E Of WORK <br />n Bullding <br />�] Gompinal�on <br />D Demotition <br />EQ Sprinkler <br />D MiChaniC31 <br />BPlumbing <br />Slpn <br />BAtlOilion <br />Altcrallon <br />r ) New <br />D RepaidMaim. <br />MiATlOURCE <br />Electrlc <br />Gae <br />ou�« <br />CITY OF EVERETT LOCAL SALES TA'( CODE 16 �105 <br />WORK DCSCR�PTION Exlnl'VV <br />ADp `� �SJ �C�-�"' ,, ��CM3„STig6E �4fWFt1C 4 <br />� SSP �pQ N�Yi TF�J4UT <br />NO. � 'fYPE OF FIXTURE OR ITEM <br />W�TER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KI7CHEN SINK 8 DISPOSA� <br />OISHWASHER <br />LAUNDRY TI2AY <br />CLOTHES WASHER <br />URINAL <br />�RiNKING fOUNTAIN <br />FLOOR DRAIN <br />BACKfLOW PREVENTER <br />SINK (SERVICEIBARIMOP/E'fC.) <br />OTHER ' <br />�46p � A�7o Re�o�n>E <br />��� MEC ANIC L <br />N0. I TY�E OF FIXTURE Ofi ITEM <br />A/G - AlFiANOLING UNITS <br />FORCED AIR SYSTEMS <br />HEA7 PUMP <br />UNIT HEATERS <br />CLOTHES �RYER <br />RANGEHOOD <br />WATER HEATER <br />MflTAL FIREPLACE/STOVH <br />FIREP�p,GE INSERT <br />GAS FIREPLACE <br />GAS RA�GE <br />GAS PIP:NG <br />EXHAUSTF.:V <br />OTf�FR <br />I HEREBY CERITiFV THAT I HAVE REnO AND LwtUinEO TniS navuCATiON AND KNOW TnE SAh1c TO BC TRUE nND CORRECT. n�L <br />PROVISIONS OF LAWS ANp(� IDIFlnCES GOVCRhWGTH15 TYPC OF wORK wa� ee COMPLiCD w1iH R'HETHCR SPECiF1E0 HEREiN OR <br />MOT, THE GRANTING OF A PERMIT OOES N0T PRESUME TO GIVE �UTHOR�TV TO ViOIATE OR CANCt: THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAN' REGUUITING LONSIRUCTION OR TNE PERFORM1tANCe CFCON91ftUC71CN. 7MA1 i AM AU7HORILEU �Y TME <br />ONRJER OF THIS PROPERTY TO PEFFORM THC WORK FOft WN;CH APP�ICATION IS AfADE AND i COMPLY W9TM THE STATE <br />corrr�crogs u�w,a v ac�prao zac 20o wnc. <br />DEBI7 b CR�DIT CARDS ARE NOT ACCEpTED <br />�:_ <br />