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DEC-21-2005 08:29 FROM:PERMIT '- 4257756315 TC: :4252578857 P.2 <br /> 1 <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810—FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAX I.D.# PERMiT C <br /> z �u/�L J'� o c�S�Y c� ��/�' :�` - <br /> LEG LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADORE55 ZIP PHONE <br /> �rhw f�t�tcl�o2- Z �/i� rv/� f� ��n: `���rz zy��` <br /> TENANTNAME GONTACTFORPERMR PNONE <br /> �J'GC� �(.-�izd4- yis 2Z5 8�5� <br /> CONT CTOR —��-T ADDRE55 ZIP CONTR.LIGENSE# <br /> W�}J'�f �rtR�t� �'P.�Ir1C�.1' ��l�S�li�Jq��cB <br /> PHO�� �� �� � �h�-, ��'¢���.�.,y <br /> PROPOSED VSE OF BUILDING Buiiding �echanical I Addillon I HEAT SOURCE <br /> r �, PERMIT Combination IUrtlbl(1g WORK Alte�atlOn yElecUic <br /> 1 � �� 7YPE � Damolition Sign 7YPE New ,r��as <br /> �J Sprinkler epalr/MaiN. Ll Otner <br /> CONTRACT PRICE OF WORK '�f/)1 -� CITY OF EVERETT LOCAL SALES TA%CODE IS J105 <br /> r�.�i! <br /> WORK DESCRIpTION <br /> C��- ��.�-�-� �Q�-' ,� �c� <br /> PLUMBING MECHANICAL <br /> NO, TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXNRE OR ITEM <br /> WATER CLOSE7(TOILET) _ A/C-AIHANDLING UNITS <br /> BATHTUB � FORCED AIR SYSTEMS <br /> _ LAVATORY(WASH BASIN) • _ HEAT PU�1P <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> DISHWASHER R,4NGE HOOD <br /> LAUNDRY TRAY � WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVG <br /> URINAL FIREPL4CE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR�RAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK(SERVICFJBARIMOP/ETC.) _ EXHAUST FAN <br /> OTHER OTHER <br /> I HEREBY CERITIFV THAT I HAVE REAO AND EXAAIINED THIS APPLIC:.TION AND KNOW THE S.�N.E TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF U1WS AND ORI�INACES GOVERNING THIS TYPE OF WORK WILL BE COAIPLIED WITH Y�HETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERM1IIT DOES NOT FRESUME TO GIVE AUTMORI7Y TO VIOLATE OR CANCELTHE PROVIS�ON OF ANY OTHER <br /> STATE OR IOCAI LAW REGULATING CONSTRUCTION OR TFIE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHOR2ED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITF!THE STATE <br /> CONT CTORS lA 27 RCW AND 29620 <br /> vNK4 l ���i�/f./� <br /> Si at re of OwnedContractor/A nzed Agent Date <br /> DEBIT 8 CREDIT CARDS ARE NOT ACCEPTE� <br />