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FEB-20-2006 12:56 FROM:PERMIT <br />LOT NO. <br />4257756315 T0:14252578857 P.2 <br />PERMIT APPLICR': ION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CE�AR STREET, EVERETT, WA 98201: <br />425-257-8810 - FAX 425-257-8857 <br />IPARCELTA7CI.D./ /2�h, PFJ��Tr , <br />pd393zo/od �� r� , G�d.�- <br />TRACT <br />�c�cn �-�Ja.fh%v� 5'S3Z �/��i�r�hy .n` 9F�3 s��3��'�� <br />TENANT NAME CONTACT FOR PERMR � �0� <br />�ry�.Q� � ,(�hd� yis �73- 8 W5�' <br />CON TOR ����' <br />w'"�sH �nwy y �e�ui� <br />PNONe �`1 <br />24(O �Z %G�j 7i�%i7 aVY1 <br />PROP09E0 USE OF BUILUIN6 � 81�Iltli/l9 <br />vepMrr Camhinatian <br />(' �/ 7YPE Demoiition <br />U ��� sP��Wa� <br />CONTRACT PRICE OF YfORK <br />WORKOESCRIPTfON �` r <br />�L.l <br />N0. � TYPE OF FIXIURE OR IiEM <br />C.CJ / �" <br />W �i..l v'✓ <br />LVATER CLOSET (f01LEn <br />&1THTUB <br />LAVAI'ORY (WASH BASIN) <br />3HOWER <br />KITCt1EN SINK 8 OISPOSltL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAI <br />ORINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICFJBAR/MOP/ETC�) <br />OTHER_ <br />LP CONTW.LICENSE� <br />�'cJ1f�Jf!/�✓97/Qq <br />MeChOnlcal Aedtlon <br />PIum0ing woRk B 1W2tlon <br />$ig� TYPE J2Q RWaYlh4ainl <br />CITY OF EVERETT LOCILL SALE9 T� <br />,�e,UI�.CQ <br />WO. � TYPE UF FUCfURE OR REM <br />FORCED AIR SYSTEM9 <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HO�D <br />WATFR HEATER <br />ME1'Al FlREPLACEISTOVE <br />FiREPLACE INSERT <br />GqS FIREPLACE <br />GqS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />oTM�►+ <br />MEAT80URCE <br />�ElecMc <br />Gr <br />OIMr <br />n a�os <br />I HEREBY CFRRIFY THAT I HAVE READ AND E7fAMINED TMIS APPLJCATION ANU KNO'H THE Snr.�E TO BE TRuB PNo CARRECT. �LL <br />PROV1910N5 OF LAWS AND ORI�INACFS GOVERNINO THIS TYPE OF WORK WILL BE COMPLIED WRH WNETHER SPEdF1E� HENEIN Ofl <br />NOT. THE GMNT�NG OF A PFRMIT DOES NOT PRESUME TO GNE AUTHORITY i0 VIOLATE OR CANCEL T}iE PROVISION OF AM' �TF1� <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR 1HE PEftFOMNNCE OF CANSTRUCTION. THAT I AM AUTNORI2ED 9Y THE <br />owNER OF THIS PAOPERTY TO PFRFORN THE VVORK FOR WHICH APPLIGTIOM i� MV��E AND 1 COn1PLY WI1'H 7ME STATE <br />DEBIT � CREDIT CARDS ARE NOT ACCEPTEO <br />