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DEC-2o-2004 12:43 AM DPVE.BEAMES <br />i <br />425 259 2900 P.02 <br />�;, PERMIT APPLICATION , � `a3 �(� <br />' CITY OF EVERETT PERMIT SERVICES I 1 <br />I 3200 CEDAR S7REET, EVERETT, WA 98201 Z�J y., <br />425-25�-8810 — FAX 425-257-8857 — www.everettwa.org b ' <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CRE017 CARDS ARE NOT ACCEPTED I <br />I <br />� SITE ADDRE99 � PARCEL TAX I.D. M PERMIT # <br />! �2� �ocu�r ' D � �� ' � <br />i LEGA LOTNO. ` BLOCK i TRACT <br />DESC. � <br />ITENANT NA� <br />I <br />� <br />CONTR Ct0 <br />,�,9c��-5 .SE,�v�C.F P/�J�. <br />CONTfi, LICEN9E fl <br />USE OF BUILDING <br />WORK DESCRIPTION <br />� � � <br />coN� rncr <br />ADDRE55 CITY!ZIP <br />3��i KeD�rf�e.. �w� �u� <br />HEAT90URCE <br />_ Electric _ Gas _ Other <br />PHONE I <br />3�3-t/z i _ <br />PNONE <br />PHONE I <br />Zh'S-Zi £�o <br />CONTRACT PRICE OF WORK <br />PLUMBING I MECHANICAL <br />NO. I TYPE OF FIXTURE Ofi ITEM I NO. I TYPE OF FUfTURE OR �TEM <br />Tollet <br />T Bathtu0 <br />lavatory (waeh basin) <br />Shower <br />� Kltchen sink & disposal <br />Clshwasher <br />_�, Clcthae washar <br />Launary tray <br />Sink (aervlcelper/mop/ete.) <br />� 8etkflow praventn� <br />W Unnal <br />Drinklnp Fountain <br />� Floor drain <br />Grease trap <br />Root tlreins <br />_ Gther <br />I_ A/C — alr handling unds <br />, Forceaelrsystems <br />Ges piping <br />Water n�ater <br />� Gas fireplace <br />Gae range <br />Clothaa dryer <br />� Range !.00a <br />Exhaustten <br />� _,, Heat pump <br />' Unit haater <br />_I Boilar <br />� _)Refrigeration <br />Woodatove <br />_ ; Other <br />—I <br />^---I <br />� <br />CIiY OF EVERETT LOCAL SALe9 TAX CODE 19 3109 <br />I herehv ;erititv that I have read an� examinee thia apolicatlon antl know !he same F_ he vue ana correcL All provisions ct laws anC <br />crdlnace3 9evemlr.g this ype of work �,vill he complled wnh �Nhetner speclfied nerein or not. The arantlng of a permlt does no[ presuma <br />to give au!norltv to viclate or cancel Ihe provlsion of any oMer state or:ocal 'aw re5�laUnp cons;r�cdon or the Oertortnance o! <br />consWctlen Tnal i am authonzed Cy the cwner ot this omoerty to peAorm Ne work'or wn,c� accllcaqC� is maae ane I comply with ;he i <br />Stata Cor.tr;�ctors Law 1827 RCW antl 295.200 WAC. <br />�Y/���� lz -� 3 - �� <br />