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OCT-10-2005 07:18 FROM:PERMIT 4257756315 TO:i4252578857 P.1 <br /> PEKMIT APPLICATf0�6 <br /> CITY OF EV�RETT PERMIT' SERVICES <br /> 3200 CEDAR STREET, EVERETi, WA 98201 <br /> 425-257•8810— FAX 425-257-8857 <br /> SITE ADDRE55 PARCEL TA%IA.8 PERMI7# , � <br /> 12�zv �-la f �2 Do �fo t 4�z (>_ <br /> lEciRL LOTNO. eIOCK TRAGT <br /> OESC. i <br /> OWNER lvODRE35 ZIP PHONE <br /> .��,h��,�o�, �-Lzo �-[QYt �� �I�Z� ( �{�z,1- 2.�z�`1'� � <br /> TENAN7�NAME � CONTACTFOR`�PERMIT PHONC <br /> `Wl � ,(��1�� yZ.S- .c�-7s�{.S7 <br /> CONTRACTOR ADDRESS ZIP CONTR.LICENSE p <br /> W HJ'+�l �n�� �� '�1CPl�1'�y� CcrfifiY��J'9�iqg <br /> PHONE ^�/.` !/a w //��� k���C3y�l� <br /> �i��� ��i /W � N <br /> PROPOSEDUSEOFBUIL�ING I f� Building �echanical ('� Addition � NEA7SOURCE <br /> f� PERMIT �� Combinatlon 1um61ng WORK ��� AIleration �Elecuic <br /> , \� IYpE H DomoliUon Sign TYPG �{,Now Gee <br /> u� LJ Sprinkler {�RepaldMafnl. Other <br /> CONTRACT PRICE OF WORK "1 �� -- CITY OF EVERETT IOCAL SALES TAX CO�E IS 3105 <br /> WORK DESCRIPTION �� �� /, ' / .— �,� n/j �/�� <br /> f��..e`4C/�' [.!�f'!Z lil <br /> .�r <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO., TYPE OF FIXTURE OR iTEM <br /> WATERGLOSET(TOILET) _ A/C–A/HANDLINGUNITS <br /> BATHTUB _ FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) _ HEAT PUMP <br /> SHOWER _ UNITHEATERS <br /> KITGHEN SINK 8 DISPOSAL CLOTHES ORYER , <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY � WATER HEATER <br /> CLOTHES WASHER _ METAL FIFtEPlACEISTOVE <br /> URINAL _ FIREPLACE INSERT <br /> DRINKING FOUNTAIN _ GAS FIREPLACE <br /> FLOOR DRAIN _ GAS RANGF <br /> BACKFLOW PREVENTER ,_ GAS PIPING <br /> SINK(SERVICEIBARlMOPlETC.) _ EXHAUST FAN <br /> OTHER OTHER <br /> I HEREBV CERITIFY THAT I HAVE READ AND E%M11NE�THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS NPE OF WORK WILL BE COMPLIED lh'ITH WHETHER SPECIfI'c�HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT UUES N0T PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> OW ER OF�HIS PROPERTY OTPERFORM THE WORK FOR WMICH APPI CAT O�IS MA E AhD I COM1 PLY W TH THE S�A E D BY THE. <br /> CONT CTORS LA 27 RCW AND 29620WsWC1 Q�/G/�� <br /> l�{U�{.4 Sr'r��V � L <br /> Si ut re o Owner ConVactodA 1 i rizod Agenl Dele <br /> DEBIT& CREDIT CARDS ARE NOT ACCEPTED <br />