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MRR-2-2004 E19:10 FROP1: ��':?4252578857 P. ': <br /> PERMIT APPLICA►i!UN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8010- FAX 425-257-8857 <br /> SITE ADDRESS pARCEL TNC I,D.ii PERMIT a <br /> I 1 -t�l oy T l� V� C� �S �cX� �U 'YI G'� - 00� <br /> LE LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER . ADORESS ZIP PHONE <br /> �r� l.� n I-e l S� l 3 �� ftd�'j" �9ve �ff� 4�2o r �Z� 25� 333j <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> I Cc�r�(�t ��.d(�q��' 20� 2�-,��(�c.� <br /> CONTRA 70R ADDRE55 71P CONTR.LICENSEM <br /> (,�A S�,�n5�k �vt�rr�c� �t,(Cuj(+ '� <br /> PHOl�CO t�Q O- �lr o � �i �t"f�I� �p W�TJ���J 97I lL� <br /> PROFOSED USE OF BUILDING n Building Mechanical I Addition HEAT SOURCE <br /> PERMIT FL�,+ Combina6on Ui11bIRg 1WORK R!..[ Alle�atlnn I EIeUAc <br /> Q 1 TYPE �..j DemollUon Slgn �7YPE �..j ;�ew � Gas <br /> J � I� -�— �'�_ l' U Sprinkler � D� ReAaidMainL Other <br /> CONTRACT PRICE OF WORK � r CfTY OF EVERETI�LOCAL SALES TA%COOE'S J105 <br /> WORKDESCRIPTION �a C � �a� �� ^ �� ��uN��� " <br /> JJ � <br /> .� Iu � t <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM HO. TYPE OF FIXNRE OR REM <br /> WATER CLOSET(T01 LEn A/C-A/HANDLING UNITS <br /> BATHTUB FORCGD AIR SYSTEMS <br /> _ LAVATORY(WASH BASIN) HEAT PUM° <br /> SHOWER UNIT HEA7ERS <br /> KITCHEN SINK&DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANGE Y.00D <br /> _ LAUN�RY TRAY � WATER HEATER <br /> CLOTHFS WASHER METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> � I _ DRINKING FOUNTAIN GAS FIREPLACE � <br /> i _ FLOOR DRAIN _ GAS RANGE <br /> BACKFLOW PREVENTER GAS piPING <br /> SINK(SERVICE/BAR/MOP/ETC.) _ ExHAUST FAN <br /> OTHER_ OTHER <br /> I HEREBY CERITIFY TIiAT I MAVE READ AN�EXAMINED THIS APPLICATION AND KNOW THE SAME TO B�.'-:TRiiE:W6 CORRF��f. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GO\�ERNING THIS NPE OF WORK WILL BE COMPI.IED WRH!:;HEI riEP,SPECIFIE�hIEREIN OR <br /> NO7. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLRTE OR CANCEi TI1E PP.OVISION UF nNY OTHER <br /> STPiE OR LOCAL lAW REGU:^TWG CONSTRUCTION OR THE PERFORMANCE OF CON3TRUCTION. 7HAT 1 AM FUTHOR12ED BY THE <br /> OWNER OF THIS PROPERTY TO FERFORM THE WORK FOR WHICH APPUCATIO�IS A�ACE AND I COMPLY WITH THE STATE <br /> ��O�TRA ORS L4W 1 R 'N ANtl 296.200 WAC. / /' / - <br /> ��[ ,,��h�-.� 3<<-� `� <br /> Sigrl:�iur o Owner/ContraclodAulhod � Age Date <br /> DESiT& CREDIT CARDS ARE NOT ACCEPTEG <br />