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' JUN-20-2006 06�29 FROM:PERMIT 4257756315 T0: 14252578857 P. 1 <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETi', WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAX i.D.# P RMI7 u � <br /> 2 ! �vl�i Sf ZqosZc�cx��'ID3�o ;��� G-�� �,' -,���' <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> O NER ADORESS ZIP P ONE Z S <br /> A-be � Sc+ h.cG►.�L z�{�s so�/ Nr�G1 o/f �/ �7,�-r� 9�Z�3 3s-o-syz/ <br /> TENANTNAME• CONTACTFORF'�RMIi PHONE <br /> 7.P.+'�� LD�6ard i ( �i2d�- yzs 2��- S�W�� <br /> CONTRACTOR � AU�RESS ZIP CONTR.LICENSE p <br /> c.0 Rs+-+ `�n���j �u?�l �J � /� <br /> PHONE '��X� �� �pYYI �HHe /YjJ{_ ��,/p C�//J��fI�.f97I((� <br /> 2p(p �-$"L '(.�t <br /> PROPOSED USE OF BUILDING Bufldlnc� Mechanical Addition HE.\7 SOURCE <br /> PERMIT R�1 Combinalfon lumbing WORK �Alteration ,nI-�G EleUdc <br /> S !�� 11'PE �J Demolilion Sic�n TYPE No�v 7�./ Gas <br /> � U Sprinhl0� Rep:ddhtaint. �� OU1Cr <br /> CONTRAC7 PRICE OF WORK ��J'�� � CITY OF EVERETT LOCAL SALES TAX COOE IS J105 <br /> �v <br /> WORK DESCRIPTION <br /> c�4.� c��,� 1��.� 2-e-p����� <br /> PLUMBING • MECHANICAL <br /> N0. IYPE OF FIXTURE OR ITEM17 NO. TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET(TOILET) A/C—AIHANDLING UNITS <br /> BAT:iTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOW ER UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> DISHWASHER fZANGE HOOD <br /> LAUNDRY TRAY z WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR �RAIN GF�S RANGE <br /> BACKFLOW PREVEPJTER GAS PIPING <br /> SINK(SERV�CE/BAR/MOP/ETC.) EXHAUST FAN <br /> OTHER ^ OTHER <br /> I HEREB'i CERITIFY THAT I HAVE REAO AND E.YAM17INED TMIS APPUCATION AND KNOW THE SAh1E TO BE TRUE AND CORRECT. ALL �I <br /> PROVISIONS OF IAWS AND ORIDINACES GOVERNING THIS IYPE OF WORK 1YILL BE COMPLIcD WITH WFiETHER SPECIFIED HEREIN OR <br /> NOT. TF1E GRANTING OF A PERMIT DOES NOT PRESUh7E TO GI\+E AUTHORITY TO VIOIATE OR CANCEL THE PROVISION OF AIJY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORh1ANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OVlNER OF 7HIS PROPERTY TO PERFORAI THE WORI(FOR 1VHICH APPLICATION iS M11ADE AND I COAIPLY WITH THE STATE <br /> CONT CTORS LA .27 RCW AND 296.2a <br /> (/ltli4 p / ��ZO U <br /> SI at re o OwneUConlrector/A rizetl Agent Date <br /> DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br /> r <br />