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OCT-13-2004 08:39 FROMc <br />SITE ADDRESS <br />2In l5 ��2 <br />LEOn LOTNO. <br />T0:?4252578857 P.2 <br />-i <br />a <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEOAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 / n _ ! � <br />A-� Ko M �� <br />�t � <br />S�-+'�� <br />��� <br />PHONE <br />r7��.P ' <br />�Y1�� � �vL� <br />.BLOCK TRACT <br />C � """ J 1 � <br />z�a-�.hcr� �-� <br />PIIOPOSED U9E OF BUILDING <br />S�� <br />CONTRACT PRICE OF WORK � <br />WORK DESCRIPTION <br />�� S <br />N0. � TYPE OF FIXTIIRE OR ITEM <br />PARCEL TN( I.D. • <br />CONTACT FOR PERMR <br />(�nd�.�Thc.~m�u� �6 <br />AD�RESS <br />� �� ^ <br />Bullding �Mechanical <br />PERMR B CombinaUon B Plumbing <br />Trre D Demolitlon Sign <br />D Sprinkler <br />PERMIT N <br />U - �� <br />�p pHONE <br />�zSzsz q� fl3 <br />PHONE <br />�?�032�� <br />Z�p CON7R. LICENSE f <br />l,tlr4—J'Klf�� /d3 <br />RAdditlon <br />a�e�ana, <br />B Naw <br />RepaldFWnl <br />HEATSOURCE <br />�Electric <br />Gas <br />�� <br />CRV OF EVERETT LOCAL SALES TA7t GOut is aiva <br />.� C��tS' u,�e�h2�r- C�'�.2K�e <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICEJBARIMOPIETCJ <br />OTHER <br />NO. <br />TYPL' OF FIXTURE Oft R�M <br />AIC — AIFIAPIDLING UNITS <br />"rORGEO AIR SYSTEMS <br />FIF_AT PUTAP <br />UNIT HEATER:i <br />CWTHES DRYER <br />R4tJGE HOOD <br />INATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GASRANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />I HEREBY CERITIFY TMAT I HAVE READ AND EXAM�NED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WMETHER SPECIFIED MEREIN OR <br />NOT. THE GRANTING OF A PERh11T DOES NOT PRESUME TO GIVE AUTHORITY 70 VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION, THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM TME WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THF. STATE <br />CONT TORS LIAW( �18.2�7� �R,CW AND 296.200 VlAC. �� � Ot <br />�lAwll � �WVV71%�ilA�ll�fl \ 1 I _ <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />