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AUG-7-2006 11:15 FROM:PERMIT 4257756315 T0� 14252578657 P.3 <br /> 1 <br /> PERMIT APPLICA-I"ION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, E`JERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAX I.�.# P RMIT G/_ // <br /> 3'7O� �i�rcQa �C. Ov�S-is�t�a / 2c ,x� � �' <br /> LEGA LOTNO. BLOCK TRACT � <br /> DESC. <br /> OW4ER ` AODRESS � _ ZIP P ONE <br /> Nara�r�!'l4za rcQti 3�0��cl�-,��- �-1�� � `�z�--zd��� � <br /> TENANTNAME CONTACTPOR RMIi PHQNE <br /> �.v�.c� ,(��?d� yzs 27�- 8-�15� <br /> CONTR CTO,R` �! � �Q�/ r� � ADDRESS . 21P CONTR.UCENSE li <br /> PH��f T'i Zt�� Q'r' •I(1=./ G'�//L�l��'f! 7%Q7 <br /> Z�'j �`"floryi k� C ti.� <br /> zo� zeL y�� �ea� '�� �ip r _ <br /> PROPOSE�USE OF eUIL01NG � BuIlding Mechonical [� Addition IIEA7 SOURCE <br /> PERMIT Contbination � Plumbing IWORK .�P.Ile2tion Q ElecVic <br /> S�.�Jf I TYPE DBrt10111'10� U Sign 7YPE D New •I5� Gas <br /> 'v 5ptlnkl8r U Repair/Mafnt. U otncr <br /> CONTRACT PRICE OF WORK ��j s� � CITY OF EVERETT LOCAL SALES TAX COOE IS 3705 <br /> WORK DESCRIPTION � �� ��/ � f ������ <br /> �( �s�-!r jtlec� �'��r uf�- 5 ., .� <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEh1 NO.. TYPE OF FIXTURE OR ITEht <br /> WATER CLOSET(TOiLET) _ A/C—A/HANOLING UNITS <br /> BATHTUB _ FORCED AIR SYSTEMS <br /> _ lAVATORY(WASH BASIN) _ HEAT PUMP <br /> SHOWER _ UNIT HEATERS <br /> KITCHEN SIIJK 8 DISPOSAL CLO7HES DRYER <br /> DISHWASHER RANGE HOOD <br /> IAUNDRY TRAY � WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/S I'OVE <br /> URINAL FIREPLACE�NSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENT[R � GAS PIPING <br /> SINK(SERVICE/BAWMOP/ETC.) _ EXHAUST FAN. <br /> O7HER _ OTHER <br /> I HEREBY CERITIFY THAT I HAVE READ AND EXA`.11NED THIS APPLICATION AND KNOW TME SAM11E TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS IYPE OF WORK WILL BE COMPLIED WITH WHETFiER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERA7IT DOES NOT PRESUME TO GIVE AU7HORITY TO VIOIATE GR CANCEL THE PROVISION OF ANY O7HER <br /> STATE OR LOCAL lAW REGUTATING CONSTRUCTION OR THE PEftFOR1.WNCE OF CONSTRUCTION, THAT I FM AUTHORI2E�BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WNICH APPLICATION IS MADE AND I COh7PLY WITH THE STATE <br /> CONT CTORS LA .27 RCW AND?96.20p�p�} � <br /> !/1�i4 � �LJ ��1 O T <br /> S at re o wner ontraclor/A nzed Agent Date <br /> DEBIT 8 CREDIT CARDS ARE NOT ACCEPTEp <br />