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OCT-13-2004 08:39 FROM: T0:14252578857 P•1 <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />SITE ADORESS PARCEL TAX I.D. R <br />cQsoq 1-li hl�n� (.l- oos3t�oo2oizai <br />LEG LOTNO. BLOCK TRACT <br />DESC. <br />µ ADD 6S <br />ler�svu.e..63a.r1�►'4 �-ioe.r�r Cesc�'i {-(�5hk►�.a IY 4'6 <br />AME � <br />�� <br />CONTACT FOR PERMIT <br />(,� t�d�`7hovnQuts�6 <br />�C V1�lVL L � CO j RESS <br />5 f� �`1 C� �&e-�� w�t <br />PH�_ � , h� c"6 W I Y 17YI�lL�yL'� �1� �^-� ` <br />'L6d'�i l <br />PROPOSED USE OF BUIIDINf3 <br />s�--rz <br />Bulldiny <br />PERMIT B Comdnatlon <br />TYpe OemolPoon <br />Spiinlder <br />CONTRACTPRICEOFWORK ��Cl� � ^ <br />WORK DESCRIPTrIO�N r -_ <br />o_l VI.S?� � � I!1� ��-.f `�U�"�" 1��� <br />NO. � TYPE OP FUCTURE OR ITEM <br />WATER CLOSET (TOILEn <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICEBAR/MOP/ETC.) <br />OTHER <br />PERMIT k <br />��-,� ��-�,a <br />i'-. P <br />�� �zr s�s� �o <br />�PMONE r� <br />S 770 �Z�£ <br />ZIF CONTR. UCEN7F • <br />� �K�'Y?C.C� �O� <br />Mechanlcel I �AdE�tbn I HEATEOURCE <br />plumbing WORK Nbratlan �Ekdrlc <br />Slyn TYPE New �° <br />Rpak/Milnt ONBr <br />CI7r OF EVFRETT LOCAL SALE9 7Nc cvoe w aiva <br />�ia� liU�� <br />3 ��/t�Ulolollo <br />No.. I rn+E oF FlxTv� oa �+ <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPIACE <br />OAS RANGE <br />GAS PIPING <br />ExHAUSTFAN <br />OTHER <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW TME SAME TO BE 7FtUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIOINACES GOVERNING TMIS TYPE OF WORK WILL BE COMPLIEO WITH WHET?7ER SPECIflED HEREIN OFi <br />5 ATE OR GOCAL LAW REGUTATING CONS RUCTION OR TME PERFORMANCE OF CO STRUCTIO .N cTNAT 1 AM AU ITHORIZE 8Y THE�� <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPUCATION IS MADE PND I COMPL� WITM THE STATE <br />CON TORS LAW 18/!z RCW ANO 296.20D WAC. �a <br />I..i�1 \. <br />l Y�il.nnn�iii� 13ICA.I <br />8 CREDIT CAROS ARE NOT ACCEPTED <br />