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T0:14252578857 F•� <br /> FEB-2-2005 15:27 FROM: —� <br /> � PERMIT APPLICAl`�JM <br /> CITY Oo ED RR REET eERM�W ER o10ES <br /> 425-257-8810—FAX 425-257-8857 <br /> PARCEL TAX I.D.K PERMIT N , . -� _/ <br /> SITE ADDRESS � � `-� �� <br /> � . ; � <br /> 1 d S� �ver� 4l(w 0 c�a�t� <br /> LEGA LOTNO. BLOCK TRACT _ <br /> OESC. Z�p PHONE ZS"' <br /> A�ORESS <br /> oW�v �uony � osE �u�!¢ rn�.Nc�, �� �� � 3 ��-��zz. <br /> � /� pHONE ,� p,� <br /> TEaVLVa �eS r'^^"'� I C�A��R IVCUI�IZ�IJ�/f L � ��G � W� <br /> Ap�RESS ZIP CONTR.UCENSE N <br /> C NTFACTOR �.�1�� ^ r , w�tfHlEs�� oa <br /> l,�a�t�in���� v__'' ,�}�I 4�f9� <br /> PMONE rL�UC7�UYrN�tyK�' I "'e' w <br /> � �� �� � Mechanical hdditlon I HEATSOURCE <br /> n BuUding IWORK � a��tl�^ Eieciric <br /> PROPOSED USE OF BUILDING pERMR n CombinaUon Plumhing Rcas <br /> TYpF New F( Q�er <br /> /1 .,�.,, �,y� TYPE C� DemoliUon S��J^ RepaldMainl. �� <br /> �X��'�� � SprinWer <br /> /O,� ^ CITY OF EVERETT LOCAL SALES TAX COUE IS 7705 <br /> CONiRACTPRICEOFWORK L�� � �� <br /> WORK�ESCRIPTION � r � �� r � �` /_ ' /��A4� <br /> 9 �, «� <br /> J J <br /> MECHANICAL <br /> PLUMBING <br /> NO., 7VPE OF FUCTURE OR ITEM <br /> N0. TYPE OK FIXTURE OR ITEM aC_��DLING UNITS <br /> WATER CLOSET(TOILEn — FORCED AIR SYSTEMS <br /> — BA7HTU8 HEAT PUMP <br /> — LAVATORY(WASH BASIN) — UNIT HF�4TER5 <br /> — SHOWER — CLOTHES DRY[R <br /> KITCHEN SINK 8 DISPOSAL — RqNGE HOOD <br /> DISHWASHER Z WATER HEATER <br /> LAUNORY TRAY METAL FIREPLACE/STOVE <br /> CLOTHES WASHER FIREPLAGEINSERT . <br /> � URINAL — GAS FIREPLACE <br /> DRINKING FOUNTAIN — GAS RANGE <br /> FLOOR ORAIN — GAS PIPING <br /> — BACKFLOW PREVENTER — EXHAUST FAN <br /> � SINK(SERVICFJBARIMOPIETC.) — OTHER_�— <br /> OTHER�— <br /> I NEREBY CERITIFY TH4T I HAVE READ AND F�WMINED THIS APPLICATION A4D KNOW THE SAME TO BE TfiUE ANO CORRECT. ALL <br /> PROVISIC7N5 OF IAW S ANO ORIDINACES GOVERNING THIS TVPE OF W ORK N'ILL BE COMPUED W ITH W HETMER SPECIFIED HEREIN OR <br /> STATE OR LOCAI ILAV�'REGUL4TING CONS RUCTION OR THE PERFORMAN E OF CO S7RUCTION.C'fHAT I AM AUTHORIZED By�E ER <br /> 01'JNER OF THIS PRO ERTY TO PERFORM 7HE WORK FOR WHICH APPLICATON IS MADE AND I COMPIY WITH THE STATE <br /> CONTRF�TO�C � 7�AN�296. 0 WAC. �a' 0,�� ' (���^^O `7� <br /> �.� ' � � � <br /> L <br /> SI aN e o(Ownar ConlraclorlA orized Agent <br /> ate <br /> DEBIT &CREDIT CARD^a ARE NOT ACCEPTED <br />