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21-2006 07:04 FROM:PERMIT 4257756315 T0:14252578857 P.2 <br />Pt:RMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425.257-8857 <br />SITE ADDRESS PARCEL TAX I.D. # PERMIT a <br />�00 &ra hcd /�- I z9as/g�Ya/.3ct� tiw�o0 3� <br />LEGALI LOT NO. I BLOCK I TRACT <br />OWNER _ ADDRESS ZIP PHONE <br />C� kl�.larL-r' �Gb �7rard Mlle �f �'zo/ �Jr zrz 3'l7 f� <br />TENANT NAME CONTACT FOR PERMIT PHONE <br />c1 cj // do yZ-S- 2%ri - 9457 <br />CONTR C70R <br />ADDRESS ZIP CONTR. LICENSE # <br />L J'+� �t3zr�1����P-yyN����yIGQ�Jy���irt'y�yyl�jaJ/�'��, 1 C�f�sfi'i�f9�i(& <br />PHONE % !/V 'v / / ZVC— <br />ZO[c L$L <br />PROPOSED USE OF BUILDING f) BUiltling Mechanical I H <br />AtliGonHEAT SOURCE <br />PERMIT tl7( Combination f�Plum Ting W(RK Alteratioc (7 Electric <br />TYPE Demolition (, Sign T/PE New B Gas <br />Sprinkler Repalr/Malnt. Other <br />CONTRACT PRICE OF WORK 0 00/ — I CRY OF EVERETT LOCAL SALES TAX CODE Is siva <br />w <br />WORK DESCRIPTION �� <br />L <br />PLUMBING <br />MECHANICAL_ <br />NO. TYPE OF FIXTURE OR ITEM <br />NO. TYPE OF FIXTURE OR ITEM — <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICEIBAR/MOP/ETC.) <br />OTHER <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />A/C —AIHANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUNIP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />FXHAUST FAN <br />OTHER <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOV, THE SAME TO BE TRUE AND Cvnntu l <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COAIPLtED WITH WHETHER SPECIFIED HEREIN OR <br />NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PFRFORM THE WORK FOR WHICH APPLICATION IS MADE A140 I COMPLY WITH THE STATE <br />CONTR CTORS LA 27 RCW AND 296.20 34 <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />