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JRN-6-2006 11:43 FROM:PERMIT 4257756315 7G:14?52578857 P•5 <br /> � <br /> �'ERMIT APPLICATI�N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 ��- /Z - C��' <br /> SITE ADDRES ^/ C Q� /�P`AR,CEL TAX I.D.# 0��� I PERtqiT p r s � <br /> �J l.C» Y�A ��� (7 <br /> IEGA LOTNO. BLOCK TRACT ' <br /> DESC. <br /> OWNER ADURESS ZIP PHONE <br /> ►�l l �Q�r.�� �c��. ��" l�/�CGl1.C!l�aY�l�l �/�:rr�2o � ��l�ZS'�-/�O71� <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> I ,C,/i2dti yis 275 8�5� <br /> CONT CTOR ADDRESS ZIP CONTR.LICEN�'E N <br /> w'�}sN �n�r�� �r1GPJ �] � �1� � r / p <br /> PHONE C/D KJ � k� /Y7�L ��'Q I� `N ' �U�<I�.I/7I Qg <br /> �il�p �Z 7LL� c� '[.�l� <br /> PROPOSED USE OF BUILDING fl Building �Mechanical I f"1 Addition I HEA'SOURCE <br /> ,�-,/ PERMIT f� CombinaGcn ��Iumbing WORK �'1 qiie�ii� � Fleci�c <br /> s �E.�� NPE H Demolitian Slgn TYFE �New G�s <br /> � � LlSprinkler I1�RepaiqMaint. Othzr <br /> CONTRACT PRICE OF WORK �7�� — CITY OF EVERETT LOCAL SALES TAX CO�E IS 3105 <br /> ! <br /> WORKDESCRIPTION ��� �� ���� ����� <br /> PLUMBING MECfiANICAL <br /> N0. TYPE OF FIXTURE OR ITEM NO. NPE OF FUCTURE OR ITEh1 <br /> WATER CLOSET(TOILE� AfC—A/HANDLING UNITS <br /> BATHTUB FORCED AIR SYS7E61S <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> _ LAUNDRYTRAI' � WATERHEATER <br /> CLOTHES WASHER META�FIRFPLACFISTOVE <br /> URINAL FIREPIACE INSERT <br /> DRINKI�JG FOUNTAIN GAS FIREPL4CE <br /> FLOOR DRNN GAS RANGE <br /> BACKFL.OW PREVENTER GAS PIPI�'G <br /> SINK(52RVICE18AW610P/ETC.) ,_ EXHAUST FAN <br /> OTHER OTHER <br /> I HEREBY CERITIFY TNAT I HAVE RE4D AND EXAA�INED TNIS APPLICATION AN�KNOW THE SAtnE TO BE TRUE AND CORRECS. FLL <br /> PROVISIONS OF LA1VS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTINC OF A PERMIT OOES NOT('RESUME TO GIVE AUTHORITV TO VIOLATE OR C.INCEL TNE FROVISION OF ANV OTHeR <br /> STATE OR LOCAL LAW REGUfATING CONSTRUCTION OR THe PERFOR�IANCE OF CONSTRUCTION. TW1�I 41d hU7HORIZcD BY THE <br /> OWNER OF THIS PROPERTY TO PERFOAM THE WOftK FOR WNICH APPLICATION IS MAOE AND I COMPLY WITH THE STATE I <br /> CONT CT�4 .27 RCW AND42�� ' _ / � <br /> °� �%a <br /> Si al re o(OwnedContractodA nzed Agent Dale <br /> DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />