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RUG-24-�005 06:53 FROM: <br />SITE ADDRESS <br />2t13 <br />LEGA LOT N0. <br />Z1Yvt .iPael-�� <br />TENANT NMAE � <br />� <br />:142525T8857 P.5 <br />PERMIT APPLICATI� <br />CITY OF EVERETT PERMIT SE <br />3200 CEDAR STREET, EVERETT, WA f <br />425-257-8810 — FAX 425-257-8857 <br />lund <br />2t i3 �-( <br />`�s� �l�ur�t1 �.�y/�VICayI. <br />VMOZO/a �Z Y %Li, !/V'�/ // <br />PROPOSED USE OF BUILDING <br />�� <br />PARCELTAX <br />Qo�S'� < <br />7AACT <br />O�8$� <br />la 2J �C. <br />CONTACT FOR PERMR <br />�(-�n d� <br />y'iS 7 <br />''�� <br />Buildng �( Mechanical <br />PERMI7 B Combinatbn B Plumbl�g WOFU <br />TYPE D DemollUon Sign � TVPE <br />f� Spdnkier <br />CONTRACT PRICE OF WORK � �� � � <br />WORK DESCRIPTION � � <br />�� yk.r C��' � <br />PLUMBING <br />NO. I IYPE OF FIXTURE OR ITEM N�• <br />WATER CLOSET (TOILEi) <br />BATHTUB <br />IAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 6 DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CIOTHES WASHER <br />URINAL <br />ORINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICEIBARIMOP/ETC.) <br />OTHER <br />GRY OF <br />� <br />TYPE OF <br />A/C — A/HANC <br />FORCED AIR <br />HEAT PUMP <br />UNIT HEATEf <br />CLOTHES DF <br />RANGE HOO' <br />WATER HEA' <br />METAL FIREi <br />FIREPLACE I <br />GAS FIREPU <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FP <br />PERMIT N <br />� <br />AP PN ME <br />�J' Z�3a <br />. PHONE <br />3� <br />iIP <br />uceusE M <br />�J'fli�f9�ic�g <br />RAdditlm HEATSOURCE <br />q�feraqon � El�elrie <br />B� ' Gaa <br />RapalrlMalnl. Otlisr <br />' OCAL SALES TAX COD! 13 710� <br />�I � ��� <br />�� <br />i! <br />I' MECMANICAL <br />��tE OR ITEM <br />ii <br />LING UNITS <br />I MEREBY CEFiITIFY TMA7 I HAVE READ AND EXAMINEO THIS APPLICATION AND KNOW THE SAME Q BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WI WMETHER SPECIFIED HEREIN OR <br />STO TE R OCAL ILAW REGULATING�ON TRUCT OSN OR TI1E P RFORA ANCE OF CO STRUCTCA THAT I AMRAUTHORIZED BV � EHER <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I CQMPLY WITH THE STATE <br />CONT CTORS LA� 2�/7 RCW AND 296.20 �( _/� �� <br />�//L'da "f !1' /IYY1 UL / C J "17i�{�Q,�/ 1� � <br />DEBIT 3 CREDIT CARDS ARE NOT ACC <br />