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JRN-27-2005 08:35 FROM: TC:14252578857 P.1 <br /> PIERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-A810—FAX 425-257-8857—www.everetlwa.org <br /> APPLICATION3 ARE ACCEPTEU FROM 0 AM TO 4 PM -DE6�T 8 CREDIT CARDS ARE NOT ACCEPTED <br /> SITE ADDRESS PARCEL TAX I.D.x PERMIT <br /> � � 2 �?/'2LYl� �U�i ._ Grr � ()UWK / /Q�� <br /> lE lOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ` A ORES9 I P <br /> �.0 c ��I�N�t �iU l�G � I f Z. �►urtr� t4v� �(/Qr.C� 2SZld5b(a <br /> TENANTNAME CONTACTFORPERMIT PMONE <br /> � .��tL� Q J �4�°�t�L Ll�� �2'S �'7° 32� <br /> cor�c�o�tr� �� ���„ nno�ss ��� ��cmrzir PMONE � <br /> coHrn.uce+�se��f�-t1�j97�ol3 �(�Gb��a(c�k.e �+/t4J �� `'.�dyxv <br /> USE OF BUILDING HEAT SOURCE I CONTRACT PRICE OF WORK <br /> St�Ic. _Electrlc ,�Gas_Other ��� � <br /> WORK DESCRIPTION <br /> 9u! � q�S w�.kQ`-� ��G�r.� <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FU(TURE OR ITEM NO. TYPE OF FD(TURE OR REM <br /> Toilet AIC—a(r handlirp unlls <br /> Bathtub Foreed aU syatema <br /> _ lavatory(wash basin) 6ae plpi�y <br /> _ Shower � Waler heeter <br /> Kllchen sink 3 diapasal Gaa flroplace <br /> Dishwachar Gaerange <br /> Cbthes waaher Clofhee dryer <br /> _ Laundry heY Renge hood <br /> Sink(servka�bar/mop/etc.) Exheuat fen <br /> _ Backllow preventer Hsat pump <br /> Urinal Unit heater <br /> Orinking Founfaln Bailer <br /> Floor draln RehlperaUon <br /> _ Grease trap Woodltove <br /> _ Roof drelna Other <br /> Other <br /> CITY OF I:�/ERETT LOCAL SALES 7A7f CODE I!J105 <br /> I hereby cerilify thal I have read and e�mtned this applicatlan and know lha same to he true and correct. All provisions of I�wt and <br /> ordinaces govaming this rype of work wlll be complled wiU whether specMatl horNn or not ihe yrantlng oT a p�rmlt tloa not preaume <br /> to pive authorNy b violate ar cancel ths proNsion of any olher atate or lowl lew regulatlng canaWcUnn or ths psAormeua of <br /> construcUon.That I em authorizad by the owner of this p�operty to pertorm U�e work for which appAcatlon la m�de and I comply with the <br /> Sa.�VaGors La 1yo� 8.27 RCW ana 298.200 WAC. � � <br /> �� y`i 1.d�'K-�l l ` ��7 � <br /> Slyr�ur� nerl ontractar u genl a <br />