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NOV-01-2004 11:10 PM DAVE.HEAMES 423 239 2980 P.01 <br />SITE ADD S�S� <br />S <br />LEGAL LOT NO. <br />DESC. <br />OWN <br />�= Vy�P� <br />TENANTNAME <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERE7T, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />PARCEL TAX I.D. N <br />CusT <br />BLOCK TftACT <br />??,� :310� �l <br />CONTACT FOR PERMI7 <br />CONTRACTOR AODRE9S <br />�,�t/� 5�P�eu 1G6- A1�u13. 3�t11 t<�C.crt�cR swE- <br />PNON�L� ^�}� <br />PROPOSED USE OF BUILDING <br />CONTRACT PRICE OF WORK <br />WORK OE9CRIPTION <br />-10049 <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />� BATHTUB <br />LA.VATORY (WASH BASIN) <br />SHOW ER <br />� KITCHEN SINK 8 DISPOSAL <br />DISNWASHER <br />LAUNDRYTRAY <br />/ CLOTNES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />� FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICEIBARlMOP/ETC.) <br />OTHER <br />Building Mechen!cal <br />PERMIT BCombination PIum6ing <br />TYPE B Demoiltlon SIQ� <br />Sprinkler <br />�I �ILs-3�'3-112 <br />— PHONE <br />21P CONTR. UClNSE A <br />9`6Lot <br />an�uess�i6S�J'B <br />AatliLon NEAT SOURCE <br />WORK � AlteraUai Q Eiectric <br />TYPE Naw [] Gas <br />RepalnMalnt. U Ot�er <br />CITY OF EVERE7T LOCAL �ALl4 TAX CODE IS 310� <br />N0. I TYPE OF FIXNRC OR ITEM <br />A!C — AlHANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES ORYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACEISTOVE <br />FIREPfACE INSERT <br />� GAS FIREPLACE <br />_ GAS RANGE <br />GAS PIPING <br />� EXNAUST FAN <br />_, OTHER <br />1 r1ERe0Y CERITIFYTHAT I HFVE �READ AND E%AMINED THIS APPLICA710N AND K40W THE SAME TO BE TRUE AND CORREC'. ALL <br />PHO:"�SIONS OF L4WS AND CRIOINACES GOVERNING Trl$ TYPE OF WORK WILL 3E COMPLIlC W'I � n WNETI-�ER SPECIFIED MEREIk OR <br />40T. 'He GRANTING OF A PE.4A9�.T DOffS NOT PRESUME TO GI\�E AU'HO.41TY TO VIOIATE OR CAYCEL 7FE PROVISION OF ANY OTH.R <br />5'ATE UR �OCa�, :AW REGULATING CONSTRUCTION OR THE PERPOR61nHCE OF CONSTRUCTION. THAT I AM AUThOR12E0 9Y THE <br />OwNErx qF TMS PROPERTY TO PERFORAI TME WORK FOR WH�C-� APPUGATION i5 MADE AND i COMPLY WITH THE 9TATE <br />CONTRACTORS LAW t9.27 iiCW ANp 256.200 WAC. <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />