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OCT-24-2004 09:06 PM DRVE.BEAMES <br />425 239 2980 P.01 <br />_ _ ♦ � <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WP 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org � a` a 5 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 pM - DE01T R CREDIT CARD8 AR8 NOT ACCEPTED <br />SITE ADORES9 <br />�ecH OT NO. <br />DESC. <br />OWNlR <br />... /"� : �. <br />TENANTNAME <br />b C��'r� <br />eLOCK TRAGT � <br />CONTRACTOR <br />!�v�3 5ra.��ic�- o�.n� <br />CONTR. LICEN�E N <br />U9E OF �UILDINO <br />WORK DClCRIPTION <br />PARCEL TAX I.D. N <br />PERMIT A� <br />I CONTACTFOR�ER�IT rnone <br />.� <br />ADDReSS CITY2IP PHONE <br />j'�/l/S'tir.�Y�rie ffvs�� i`dLur Ncr.J�S'.7r�n <br />�-.�a lll����� <br />N0. I TYPE OF �U(TURE OR ITEM <br />Bathtub <br />Lavatory (wash baeln) <br />Shower <br />Kilehen slnk 8 disposal <br />Dishweahar <br />Clothea waaher <br />Launary trey <br />Slnk (servlcelbadmoplete.) <br />Backflow prevanler <br />Unnal <br />Drinklnp Fountain <br />Floor Cnin <br />Grease Irep <br />Roo} dalna <br />Oth�r <br />HEAT90URCE <br />_ Eledna ,, Gas ` Othsr <br />CONTRACT PRICE OF WORK <br />N0. � TYPE OF FIXiUFtE OR REM <br />AIC - air handlinp units <br />Farc�C eir syetems <br />Gas plpinp <br />Water heaMr <br />Gas flreplace <br />6ae raaqe <br />CloNea dryer <br />Renqe hoo0 <br />e�aust fan <br />Heet pump <br />Unit heeter <br />Boiler <br />Refrlgentlon <br />Woodetove <br />Other <br />C�TY OF CVERETT LOCAL 9ALE� TAX CO�E IS �700 <br />1 hernnvi centik tnat I have read ard examined this appllcatlon and know :he same ;o oe arue and eortect. All provi:lone ol lew6 an0 <br />orclnacoc gowming cnic rype of worK w�ll be compliea with wnothor speclfled herein or not. The grandnq of a pertnit does not prosume <br />to give authcriry to vioiata or wncel 1he pro�lelon of any other s!ete cr locei law regulating con�trucdon or the peRormenee of <br />construction. That I am aulhorized 6y the owner of this pmperty :o perform ths work tor which application i� made and I comply with ffie <br />State Contreclora :aw 18 .7 RCW antl 298.2G0'vrAC. , <br />�U—t?`� <br />,c �c o� Jwv <br />'//'i% �y <br />