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NOV-8-2004 07:12 FROM: T0:14252578857 P.9 <br /> t <br /> PERMIT APPLlCATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> 425-257-881D-FAX 425-257-8857 <br /> 31 ADQRE88 / PARCEL TAX I.D.• PERM1f t <br /> ;' �Y' ,Pr LQ � 2 - <br /> L LOTNO. DLOCK TRACT <br /> DEBC. <br /> �'xtrh�cr� L�roFF �{�ZY 414c�•-Cn ��3 �{2�' 33q S37�j <br /> 7FNANT NAIAE CONTACT FOR PERNR ��p� <br /> I L�ncl a {L21�'7?a 32� <br /> c,����y �'v• �,�< <`�'` �19y �/�p ��.�?N.�. <br /> PHONE �UD [/yy�f� 'C f�/{ C-� /TVrl�GJ T l�L'� <br /> PROroSlD USE OF OUILOING Q BYlldlflp �MBChlIIkBI AdmU011 HEAT80URCE <br /> S�� FErtMtT I..� ComhMellon PlumNnp WORK AlEentlm �b�( 6�edc <br /> Nve U MmoCtlan Slgn 7YVE rqw {..� tiae <br /> l� 9prkYdN Mpar/MMu. U Omer <br /> CONTRACT PRICE OF WOftK r CITY Oi EVERETT LOCAL SALE�iAX CODE 16]706 <br /> WORI:DE3CR�� `���1 „ ��� <br /> ✓ �' �,•r�a v�� f-�La P <br /> �,�b,�xos��- v 3-7� <br /> ING ME <br /> N0. TYPE OF FlXIURE OR ITEM NO. 1YP60F FlIfTURE ON fTEM <br /> WATER CIOSET(TOILET) AIC-AIHANDl�NO UNITS <br /> BATHTUB FORCED AIR SY8TEM3 <br /> IAVATORY(WASH BASIN) � HEAT PUMP <br /> � 3HOWER _ UNIT HEATERS <br /> KITCHEN&INK b DISPOSAL _ CLOTHES DRYER <br /> DISHWA9HER RANOE HOOD <br /> _ LA�JNORY TRAY _ WATER HEATER <br /> CLOTHES WASHER MEfAL FIRiPLACE/STOVH <br /> URINAL � FIREPLACE INSERT <br /> DRINKING FOUNTAIN _ OA$FlREPLACE <br /> FLOOR DRAIN �S�E <br /> 9ACKFLOW PREVENTER GAS PIPING <br /> _ SINK(SERVICEIBARlMOP/ETC.) _ EXHAUST fAN <br /> _ OTHER _ OTHER <br /> I HEREBY CERITIFY THAi I 11AVE READ AND EXAMINE�hi1S APPLICATION AND KNOW 1HE SAI�E TO BE TRUE AND COHRECT. !dl <br /> PROVISIONS OF U1W5 AND ORIOINACES GOVERNING THI&7YPE OF WORK WILL BE COMRIED WRM N?1EiHER SPECIflED NEREIN Oft <br /> NOT. THE ORMlTING OF A PERMR DOES NOT PRESUME TO GNE AUTHORITY TO VIOLATE OR C/WCEL TME PROVISION Of AN1'OT11ER <br /> STATE OR tACAL IAW REGULATING CONSTRUCTION OR THE DERFOMUNCE OF CONSTRUGTION. TNAT 1 AMAVTNORIaO 61I THE <br /> ONMER OF THIS PAOPERTV TO PERFORM THE WORK FOR WlUCH APPl1CATI0N IS MADE AND 1 COMPLY WITM 7liE BTATE <br /> CONTRACT LAW 1B.T7 INAND 298.20 WAC. <br /> ` r,(d �#-- <br /> S`IgnaN er/ onlraclor/Autho Agent a <br /> DEBIT�CREDIT CARD6 ARE NOT ACCEPTED <br />