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MAY-17-2006 10:22 FROM:PERMIT 4257756315 TO:1425257EB57 P.1 <br />PERMIT APPLICATION <br />APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SITE ADDRESS PARCEL TAX I.D. 9 <br />�, 25'/z L�vr►l�a�� D v V 3 -7 3cP /moo /3 a0 <br />PERMIT # <br />LEGAL LOT NO. <br />BLOCK <br />TRAC r <br />DESC. <br />OWNER ADDRESS ZIP PHONE <br />%%a r� E.6 h l 3 �ZS- i/ P.rQ VZd / '1Z 5 z 3 <br />TENANT NAME <br />17eth GUad�-a- <br />CONTACT FOR PERMIT PHONE <br />/ ,//z 275 - 8 L457 <br />CONTRACTOR 7"1r ADDRESS ZIP CONTR. LICENSE # <br />LU F}J'P '-n4AP'f V W <br />PHONE ` p <br />yF <br />PROPOSED USE OF BUILDING <br />PERMIT <br />Building 'bZ( MechanlCal <br />Combination TLKI�Pi mbing <br />WORK <br />Additlan <br />Alteration <br />HEAT SO:JRCE <br />D_ElecUic <br />TYPE <br />{IIL--_--J((( <br />Demolition Sign <br />TYPE <br />Now <br />Gas <br />Sprinkler <br />Repcir/Malnt. <br />Other <br />CONTRACT PRICE OF WORK / n5D <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTION <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />A/C - AJHANDLING UNITS <br />LAVATORY (WASH BASIN) <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />_ <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />UNIT HEATERS <br />CLOTHES DRYER <br />_ <br />DISHWASHER <br />LAUNDRY TRAY <br />RANGE HOOD <br />WATER HEATER <br />_ <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />_FIREPLACE <br />METAL FIREPLACE/STOVE <br />INSERT <br />GAS FIREPLACE <br />_ <br />BAC_ FLOOR DRAIN <br />SINK SERVILOW PE/BAR/ ER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />_ <br />_ <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />_ <br />OTHER <br />_ <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION .ANn KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES 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 OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT <br />OWNER I AM AUTHORIZED BY THE <br />OF THISPROPERTYOR THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTR LA RCTO W AND <br />l✓lCr(" 1 ! 1CTS/ / <br />zxgnature of Owner/Contractor/A rized Agent Dale <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />