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MqY-26-2005 08:08 FRD�: T0:14252578857 P.2 <br /> I <br /> � —. <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 AD�RESS �I - PARCEL TAX I.D.p PERMIT K <br /> 2Zv� Col�la�t�JL� �lv-L paS�(S�GoI'? Or? vU I'V�05o5-0.$� <br /> LEG LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER A�DRE55 ZIP PHONE ��-_ <br /> l�rba+r`� �oMnSm� �ol �(�w�bcc �v-� �rH`� 9PZa3 �rs4�� <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> a� I ,C..��zd� yis 7 zo 3�'' <br /> CON CS� ��� ('n �n/�� ��RE9S ZIP CONTR.LICENSE M <br /> d�c.I VlCXyJ.� /�ji� p` G'�/�J'�Y��f9�ic�g <br /> PHO � �Z �(L� �w //L c� k'P• �GtIL�P IQ � <br /> PROP SED USE OF BUILDING � Bullding �( Mechanical �AddlUon I HEATSOURtE <br /> PERMIT Com6inetlon � }Plumbing WORK Alteratlon �Electdc <br /> � IYPE Demolitlon D Sign TYPE New Gas <br /> Sprinkler RepairlMalnt. Other <br /> CON ACT PRICE OF WORK ��.�, .- CITY OF EVERETi LOCAL SALES TA%CODE IS J105 <br /> WOR DESCRIPTION <br /> g �'� 9�.r c�-�.� h��- cl�n�� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO., TYPE OF FIXTURE OR I7EM <br /> WATER CLOSET(TO�LE'n _ A/C-A/HANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) _ HEAT PUh1F <br /> SHOWER _ UNIT HEATERS <br /> KITCHEN StNK 8 DISPOSAL CLOTHE9 DRYER <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY � WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> _ IURINAL _ FIREPLACE INSERT <br /> DRINKING FOUNTAIN ,_ GAS FIREPLACE <br /> �iFL00R DRAIN GAS RANGE <br /> iBACKFLOW PREVENTER _ GAS PIPING <br /> SINK(SERVICE/BAR/MOPlETC.) _ EXHAUST FAN <br /> �OTHER O7HER <br /> — �� — <br /> I HEREBY CERITIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION AND KNOW TNE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILlOE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> N07. TNE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> OWNE�t OF HS PFIOPERTY OTPERFORM THECWO K POR WMICH APPL CAT70N IS MADE ANDTI OOMP Y WITH 7 E S�ATE D BY THE <br /> CONT CTORS LA 27 RCW AND 296.20°� / <br /> I 4 l U � Z�L�(Y <br /> Si a re oi wner ontrector nzed Agent ate <br /> DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />