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DEC-7-2005 14:12 FROM:PERMIT 4257756315 T0:14252578857 P•2 <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 /> SITEADD;ESS l./�lU{'Yl��� �V ��E�1��7�U ///�T��� <br /> � pG <br /> LEGA LOTPIO. BLOCK TRACT <br /> DESC. <br /> OWNER , ADORESS 21P PHONE <br /> �a,ti �l'auf� ZIoY Cp la� h�� � 9P�3 �.3-7.Sa3Z38 <br /> 7ENANTNAME GONTACTFORPERMIT vNO4E <br /> �� � ,(�,Id� yzs- 2�5 8�s.� <br /> C0�/�C JTO� ��� �n �n� ADDRESS ZIP CONTR.UCENSE N <br /> � �K► Y/ �J - �r� � /� ,p p <br /> PHONE !/�'�/ //[OS�YI k`e/�{� � !Q I! G�,(l�f�ll�J!~/I Q7 <br /> 2 0(�, ?s L ��w �� •.�.L <br /> PROPO£EDUSEOFBUILOING � Building dt�eMechanlG21 AddlUon HEATSOURCE <br /> ��� PERMIT Com6ination U Plumbing IWORK �leretlon �ElecNc <br /> I TYPE Demolitlon U Sign TYPE Naw Gas <br /> Sprinkler RepaldMainL Olher <br /> CONTRACT PRICE OF WORK �C/� CITY OF EVERETT LOCAL SALES TAX COOE IS 7105 <br /> C <br /> WORK DESCRIPTION ����f / ,r <br /> �l. v� ��"Yl tic� ���� i"� <br /> �c� �„� �'�� '� ���n�j ��ryt�tte 7d�d[Jo�f <br /> PLUMBING MECHANICAL <br /> NO. 7YPE OF FIXTURE OR ITEM NO. TYPE OF FUCTURE OR ITEM <br /> WATER CLOSET(TOILET) AIC–A/HANDL'NG UNITS <br /> BATHTUB Z FORCED AIR SYSTEAIS <br /> LAVATORY(WASH BASIN) _ HEAT PUMP <br /> SHOWER _ UNITHEATERS <br /> KITCHEN SINM;&DISPOSAL _ CLOTHES ORYER <br /> DISF'WASN'cR RANGE HOOD <br /> LAUNURY TRAY � WATER HEATcR <br /> CLOTHES WASHER _ METAL FIREPLACFJSTOVE <br /> URINAL _ FIREPLACE INSERT <br /> DRINKING FOUNTAIN _ GAS F�REPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK(SERVICEIBAWMOPlETC.) _ EXHAUSTFAN <br /> O7HER _ OTHER <br /> I HEREBY CERITIFV THAT I HAVE READ AND F�WMINED THIS APPLICATION AND KNOW TME SAME TO 8E TRUE AND CORRECT. ALL <br /> PRO'JISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILI BE COM?LicD 1NITH lVHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORIN TO VIOL�iTE G7 CANCEL THE PROVISION OF AtJV OTHER <br /> OWNER OF�HIS PR PERTY OTPERF RM THE WORK F R WH�CH APPL CATION IS MADE A!.'D�CJfAP Y W�H 7HE S�ATE D BY THE <br /> CONT CTORS LP. .27 RCW AND 296.200�. I ,..� /�/!� <br /> L ��� lJ <br /> li1C�4 YY!SrI�/ - <br /> SI al re ot OwnedConlraclodA nzed Agent a��— <br /> �EBIT & CREDIT CARDS ARE NOT AGCEPTED <br />