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OCT-12-2005 11:33 FROM:PERMIT <br />4257756315 TO:14252578857 P. <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT. WA 98201 <br />425-257-8810 - FAX 425-257.M7 <br />/o -la--oS <br />SITE ADDRESS �� // _I PARCEL TAX LO.r PERMIT <br />5-q161 <br />O. BLK TRACTLM <br />DO <br />'OWNER7 ZIP Imm M <br />TENANT NAME CONTACT FOR PERMIT PHONE <br />of wt-C--.. ( U Kdt, - ) 7 S- his% <br />CONTRACTOR <br />t_1 - <br />j� <br />1?1 <br />ZIP M=v <br />/WFi-J'H <br />PHONE C�Y� KJ L <br />�ai/I <br />1 [ <br />-X%C� -ld' LOL) �-v <br />LV <br />ICU A4&L <br />�C/UKTILu <br />PROPOSED USE OF BUILDING <br />PERMR <br />rrP¢ <br />BWldlng <br />ComWnatlan <br />DemoWbn�V&qvnng <br />SplinkfEl <br />kN <br />WORK <br />TTPE <br />RtN,,,L <br />NEATrOURCE <br />cft <br />Gas <br />� OOTM <br />CONTRACT PRICE OF WORK <br />4�1r'S- �— <br />CITY OF EVERETT LOCAL SALE! TAX CODE 19 3/07 <br />WORK DESCRIPTION <br />h f i I rl� G�D I °Lro v I ' � '� ,-i q� <br />NO. TYPE OF FIXTURE OR ITEM <br />MECHANICAL <br />NO.. TYPE OF FIXTURE OR REM <br />WATER CLOSET (OIL.ET) <br />BATHTUB <br />LAVATORY(WASHBASIN) <br />SHOWER <br />KITCHEN SINK S DISPOSAL <br />DISHWASHCR <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL- <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICFIBARIMOPIETC.) <br />OTHER - <br />Z <br />Alc—AMDLINGUNITS <br />AN <br />FORCED AIR SYSTEMS <br />HEATPUMP <br />UNRHEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT - <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />OHAUST FAN <br />THER <br />_ <br />_ <br />_ <br />_ <br />�_ <br />_ <br />_ <br />I I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPUCATXON AND KNOW THE SAME TO BE TRUE AND CUKMn I- ' <br />PROVISIONS OF LAWS AND OWOINACE9 GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE 09 LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OFCONSTRIJCrION TK-kT I OWNER OF THISO BV THE <br />PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION MADE AND 1 COMPLY W ITH THE <br />CAN`T{`�JTORS LAW 70.rpi��C�W�MID 296.200 WAC. <br />DEBIT 3 CREDIT CARDS ARE NOT ACCEPTED <br />