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WOV-18-2004 07:36 FROM: TG: 14252578857 P.1 <br /> � <br /> y <br /> PERMIT APP�ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857-www.everettwa.org �(� <br /> i/_ �� � <br /> APPLICATIONS ARE ACCEPTEO FROM B AM TO 4 PM - DE61T& GREDIT CARDS ARE NOT ACCEPTED <br /> SITEADDRESS �D �� La�� PA��LTAXI.D.# PERMIT <br /> CJ 4�3"7 !3 ''V �� ( `� � <br /> LEGA LOT NO. BLOCK TRACT <br /> �ESC. <br /> OWNER ADDRE53 CITY21p, c� PHONE <br /> �,1�� d`OaYtQc,q kc� �zS�G-��f}ue, �q,�zd i 4�zY3o 3 3Y� <br /> TENANTN E CONTACTFORPERMIT PHONE <br /> �a'i"v`�- � e-c�( � �25-7 �a 3� <br /> CONTRACTOR/�, J�J S/An�inL DDRES9 CITY2IF PHONE <br /> w ��1..r�v� ( O��f q�-1� �/� \ <br /> CONTR.LICENSE#W7TJ�''l�W ( /I� L��I��C(��/f_ „[//_ /, i4 �a'D� �+' d 7 /Ov <br /> C.J� rCA.�-rZ(��(./ <br /> USE OF BUILDING HEAT SOURCE COkTRACT PRICE OF WORK <br /> S(— r� _ElecVic �Gas_Other �J U a"3� � <br /> WORK DESCRIPTfON ^��� ��� , /�_ . rn4C� � � / I� ,��� <br /> �� �'lt.�.� Up// /�.� <br /> �.�,��� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FlXTURE OR ITEM N0. TYPE OF FIXTUP.E OR ITEM <br /> Tuilat A/C-airY�andtinguntts � <br /> Bathtub Z Forcedairsystems "7oj�P.O �-S <br /> ` Lavalory(wash baein) Ges piping <br /> Shower � Water heater <br /> Kitchen sink&disposal Gas flreplace <br /> Dishweaher Gas range <br /> Clothes washer Clothes dryer <br /> Laundry tray Range hood <br /> Sink(servlce/bar/mop/etc.) _ Exhausl fan <br /> Backflow prevenler Heal pump <br /> Unnal Unit heater <br /> Drinking FounWin Bailer <br /> Floor drain � Retrigeraticn <br /> Grease trap _ Woodslove <br /> Roof drains Olher <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I �hereby ceriUfy lhat I haee read and examined this application and know the same to be lrue and correct. All provisions of laws and <br /> ordinaces govaming this type of work will be compiied wilh whether specified herein or not.The granting of a permlt does not presume <br /> lo give authority to violata or cancel the provision oi any other stato or local law regulatlng consWctlon or tho performance of <br /> constructlon.That I am authorized by the owner of this property to pedorm Ihe work(onvhich application is made and I comply with t:,e <br /> Slate�lractors Law .27 RCW and 29 200 WAQ l l�I�� <br /> (�f/IGCG <br /> �gn tur o wner ontractodAu nza gent ale <br />