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MRR-1-2004 11:14 FROM: <br />T0:14252578857 P.2 <br />� <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8B57 <br />SRE ADDRE85 <br />81�- �And U� <br />LE LOT N0. BIOCK <br />DESC. <br />NER <br />`1�4-vr� Cross �i� <br />TENANT NANE <br />l��F�l���`y '�v(C9J <br />PROPOOED WE OF BUILDINO <br />S�� \ <br />PARCEL TAX I.D. M <br />CONTACTFOR <br />CGihorc�. <br />ADOREH4 <br />�(�S�e� ?� 2&2 <br />Building Mechank:al <br />PEIIMR Comtinatbn, Plumbinp <br />TYPE Demo6tlon Sipn <br />Spitnlder <br />CONiRACTPRICEOFWORK �OO ( � <br />V � — OC� <br />ZIP CONTR LICENSE / <br />4�1A�'1 Cc1,�l�fl/PJ�I �/vg <br />�e�uo„ H�rsouacE <br />DRK Ntaratlon n�yEbctric <br />PE Nsw {� t�(� <br />RepNdMaint U OIMr <br />CITV OF EVERETT LOCAL 9ALE8 TNt CODE IS J1oa <br />waucoescairna+ �QS 'TO �' QS i.C.�'�-�r i'�4-�' C <br />NO. I TYPE OF flX7URE OR ITEM <br />WATER CLOSET (TOILEn <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITGiEN SINK d DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BARJMOP/ETC.) <br />OTHER <br />NO.. I TYPE OP R%TURE OR ITEM <br />ac -aHnrr�urrc uNiTs <br />FORCED AIR SYSTEMS <br />HEATPUMP ` <br />CLOTHES DRYER \\ <br />RANGE H000 <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPIACE _ <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />I HEFiEBY CERITIFY TMAT I HAVE READ AND EXAMINED THIS APPUCATION AND KP10W TF1E SAME TO BE TRUE AND CORFECT. ALL <br />PROViSIONS OF UWS ANO ORIDINACES 60VERNING THIS TYPE OF WORK WILL BE COMPIIED WITH WME7MER SPECIfIED HEREIN OR <br />NOT. THE GRAN7ING OF A PERMIT DOES NOT PRESUME TO GIVE AUTMORfTY TO VIOUITE OR C�NCELTME PqOVISION OF ANY OT►fER <br />STATE OR LOCAL lAW REGUUITING CONSTRUCTION OR THE PERPORMANCE OF CONSTRUCTION. 7l1AT I AM AUTMORIZEO BY THE <br />OWPER OF 7HIS P ERTY 70 PERFORM THE WORK FOR WHICM APPLIG710N IS MADE AND 1 COMPLY WITH hIE STATE <br />�o��oA��� �o �.��. / <br />n� � n�l.,s..�l 3/�/oSC <br />DEBIT 3 CREDIT CARDS ARE NOT ACCEPTEO <br />� <br />