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MRY-17-2005 07:38 FROM: T0:142525788r7 P.2 <br /> � <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810-FAX 425-257-8857-www.evereriwa.org <br /> APPLICATIONS ARE ACCEPTED FROM!AM TO 4 PM -DEBIT R CREDR CARDS ARE NOT ACCEPTED <br /> SITE ADDRESE� 21� � QQ 3 vuc i.o.s �,�, PERANT�/{7 ,� / � <br /> ��/ � � <br /> LEGA LOTNO. BLOCK TRACT <br /> ��. <br /> W�.S(.�y +Q�{�rv� 3�ii�.e���4,P2o I �n P �2S'zS5 yS'ZS' <br /> TENANTNAME CONTACTFORPERMR PNONE <br /> S'av�,.¢_. � (�n�t4`r12mn1Gi.uiJr �2s-��o3�g <br /> CONIRACTOR �f'!l Q �/�,�� /'i i 1�RE6_ 8 ���ITY21P�lP�2 <br /> rl c�......—� Qc.�V [ •/...�.._i• ��}� <br /> •r7 Ln.va. � [W <br /> ��m�EN�.w�K��t7�UB �f.e.���.4d�19� lL <br /> USE OF SUIlDIN6 HEAT SOURCE CONTRACT PRICE OF WORK <br /> S� _Electrk �Gas_Other 7�• <br /> WORK DESCRIPTION <br /> 9�f -�, 5 wr l,�.r�l�� h e� CG�n� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TVPE OF FDf1URE OR ITEM <br /> Tdkl AIC-air handlinp unita <br /> BaMWb Forcec! :�ir systems <br /> _ Lavaloy(wash basin) Gas plping <br /> _ Shower � Welerl�ealer <br /> KNcIMn sink 6 disposel Gas flreplece <br /> Diahwasher (i�s range <br /> qothes washer Cbthes dryer <br /> laundry tray Renge hood <br /> Sink(aervlcelber/rtap/etc.) Ezheuat lan <br /> Beckllow prevenlar Heat punp <br /> Udnsl Unit heater <br /> Drinkfng Fountain Boiler <br /> Floor dreln Refrlgeratlon <br /> Grea�e trap _ Woodstove <br /> Roof dralns _ Other <br /> Other <br /> CITY OF EVERETT LOCAL SALES 7A%CO�E IE NOS <br /> I �ereby cerltly that I have road and e�mined this eppikation a�d know tfu�eame lo be We end cortecl. All provisbna o`,lewa end <br /> ordinaces aovemi:+p thla rype of worlc wlll De oomplied wilh whether specifled herein or not.The yrontinp ot a permR does not preatxm <br /> to pive au7iorly ro vblate or cancel the provlebn of any other state or local law ropulatlng conatnutlon or Me perlormana ol <br /> canstnrcWm.Thet I em euthorhed by ths ovmer of tAls properly W peAam ths work for whkh applkatlon Is meM and 1 compy wNh Ihs <br /> State Co�} ctars Lew 27 RCW end 298200 WAC. <br /> �(.4 � �l� o <br /> g� re ner onlrector u o en ate <br />