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i U <br />PERMIT APPLICATION ' r�i <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-?.57-8810 - FAX 425-257-8857 <br />LEGAL� LOTNO„���r� <br />DESC. � � <br />OWNER <br />� I ��1l�lr ��c�11)n <br />TENANTNAME ,} <br />J-J-�s� "ly-+L"� -� cL <br />^ Tf.Ay TOR <br />��1i,YE( �f��- 5��� a- {� Uti� <br />NONE� .,� ���% <br />L �� �(" ���� � .'S / � <br />PROPO ED USE OF 9UIlDING <br />�� 'C <br />��- �� �� �� � <br />CONTRACT PRICE OF WORK �/� � <br />WORKDESCFjIRTION/� ���.I�; <br />� 11 1� �(�` � <br />_n`s� � <br />�������r� � t ��� <br />TAX I.D. # <br />FOR PEi:MIT <br />Building � Mechanical <br />PERMIT Combination Plumbing <br />TYPE Dematition _Sign <br />Spnnkler <br />D2;Di� <br />TYPE <br />MAR 2 5 2004 <br />�{ �/ �-4 � <br />CIi1' OF EVERETT <br />ir �rn��r�it,� cn��,;�nc <br />PFRMIT p / <br />� �-/0 3 -� �� r`> <br />PHONE <br />�r��� a�G�- �ya� <br />PHONE <br />!.-��/L - ��� `7 <br />ZIP CONTR.UCENS[� <br />%�i33 <br />���� ; ,c - � `i;YI � <br />RAdEltlon MEATSOURCE <br />�[ Attoratlon I � Elociric <br />�[j�New Gas <br />L� RapaldMalN. Other <br />CITY OF EVERETT LOCAL 9ALE5 TAX CODE IS ]�OS <br />� I I��v�����-lr ,( (Y`��'� �� �'�, c» !�-c� �.� <br />�I c-G-'� , <br />c�r � •`tl��,?. i, � � �'rC C, � -�- � 1�'E�- i�� ��"`e <br />;�'1 - <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP65AL <br />DISHWASHER <br />LAUNDRY?RAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICEIBAR/MOPIETC.) <br />OTHER <br />NO. I TYPE OF fl%TURE OR ITEM <br />A/C - NHANDLINu UNITs <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES ORYER <br />F4NGEHOOD <br />WATER HEATER <br />METAL FIREPI/10E/STOVE <br />FIREPLACE INSERT <br />G/1S FIREPL.4CE <br />GASRANGE <br />G�S PIPING <br />EXHAUST FAN <br />OTHER <br />I HERFBV CF.RITIFV THAT I HAVE READ AND EXAMINED � HIS APFLICATION AND I;NO1" THE SAME TO BE TRUE AND COR4EC7. ALL <br />F'ROVISIONS OF LAWS AN� ORIDINACES GOVERNING TIIIS 1 YPF OF WORK WILL BE COMPLIED WITH IVHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUM'= TO GIVE AUT110RITY TO VIOLATE OR CANCEL THE PROVI"aION OF ANY OTHER <br />STATE OR LOCAL LAW REGUTATING CONSTRUCTION OFt TH[ PERFORMPNCE OF CONSTRUCTION. THAT I AM AUTHORIZEU 6Y THE <br />CWN[R OF THIS PROPERTY TO PERFORM THE WORK FOR WH�CH APPLICATION IS A1AUE AIJD I COM1IPLY WRH THE �TAiE <br />CONTRACTOR&LAIN 18.2"i RCW AND 296.200 WAC. � , � <br />DEBlT & CREDIT CARDS ARE NOT ACCEPTE� <br />