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OCT-10-2�05 �7:17 FROM:PERMIT 5257750�15 '�� ':9�5257E857 P.c <br /> PE�2MIT APPLIC�4TION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERE'fT� WA 982�� <br /> 425257-8810- FAX 425-257-8857 <br /> 31TE ADORESS PARCE T/J(I.D.N PER1AfT f <br /> �3 t� �a � ,4�• oo�3�s���'�-�Uc> >�l� -�J <br /> LEGA LOTNO. BLOCK TRAC7 <br /> OBSC. <br /> 7�p ONE <br /> o L��� ��--e�� �3�6 �L��/ 1 c'c'Q 7CJ � � ��3�Cr Qao� <br /> TENANTHAME CONTACT RPERtAIT . PNOHE <br /> c�'Gi.l�� I �C-!n a'� �is' ��s �l S�7 <br /> GO OR qnoRE6S LP COMR.UCEN9E 9 <br /> W�J'+�( �!'(�9t7 �NICp1 C�i5f1'f!/��7/qg <br /> P�+� ZS�y7cr� � ����'����9 <br /> PROPOSED WE Of EUILOING I BUllding U13111C8! Ad0ltlan HEAT9UURLE <br /> .� �J P[M7R R�-( Combinatbn umbing riORK AllanUan � �fedrk <br /> S �. A// , T"/PE („( DOfl7ollt{Ofl Sf9f1 TYPE New �+� <br /> f Y� U 6P�nkler pcNMalnL Other <br /> CONiRACT PRICE OF WORK �! � CrtY OP EVERETT tOCA�9ALEB TAX COOE lS]105 <br /> ' WOPKOESGRIPTION � / ��� ��� <br /> g� "�- � <br /> PLUMBING MECHANICAL � <br /> NO. TYPE OF FIXTURE OR lTEM NO.. T'Pfi OF Fll(TURE OR fTEM i <br /> WATERCLOSET(TOILEf) _ A/C-fVHANDLINGUNRS I <br /> — �TM�B _ FORCEDAIRSY5TEMS <br /> LAVATORY(WASH BASIN) _ HEAT PUMP <br /> SHOWER _ UNRHEA7ER3 <br /> KtTCNEN 31NK d OISPOSAL _ CLOTHES DRYER <br /> DISFM'ASHER RANGE HOOD <br /> IAUNDRY TRAY � WATER HEATER <br /> —y CLATHES WASHER � METAL FIREPLACEIS7UVE <br /> 11RINAL _ FIREPLACEINSERT <br /> ORINKING FOUNTAIN GAS FIREPIACE <br /> F�OOR DRAIN _ GAS�GE <br /> HACKFLOW PREVENTER GPS PIPING <br /> SINK(SERVICFIBAR/MOPIETC.) _- EXHP'�u�FPN <br /> OTHER _ 07HER-- <br /> I HEREBY CERITIFY 7HnT I HAVE READ AND EW�lAINED TMS APPLICATION AND fQ�IOW TME SM1E TO BE TRUE AND CORREC�� /�LG <br /> PROVISIONS OF LAWS AND ORIDIfJACES GOVERNINO THIS 7YPE OF WOPoC WILL Bk CAMPLIED WRk'AM11EfF1ER 6PECIFlEO HERF�N OR <br /> NOT. THE GRAM�NG OF A PERI.�rt IH1E5 NOT PRESUME TO GNE AUl'FIOWTI'TO VIOUTE OR CANCEI TME PR01'19tON OF ANY Oh1ER <br /> 3TAT£QR LOCAI lA\V REOUTATINO CON97RUCTION OR THE PERFOF1.tANCE OF CONSTRUCfION. TMAT I AM AUTHORIIED 0Y THE <br /> pYlFER OF TNI3 PROPERT'Y TO A[RfON+1 TH[WOAK FOR WMdI APPL�CArON IS AAA�E ANO�COAIPLY WRH TfiE STATE <br /> C�RS LA .27 RCW AND?B6. <br /> i <br /> Lud4 r � �6/Q S <br /> 5 a re o Ume� n r e en a e <br /> DEBIT 3 CREdIT CARDS ARE NOT ACCEPT�D <br />