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MRR-14-2005 iB:37 FROM: T0:14252578857 P.1 <br /> � <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> 425-257-8810-FAX 425-257-BB57 <br /> SRE ADDRE9S PARCEL TAX 1.0.1 ��+�T� <br /> 3 o I NoY-hr� Oo 37r icd r���-oz <br /> �e LOTNO. lLOCK ne�er <br /> oesC. <br /> � Mi <br /> /i�7�yh �-e..r-r� 33a ! Al�rr(mfl✓-� ��zo� 4L'Lt' zs3 f/`7f4 <br /> TEW WT NAIdE CONTACT FOII VEIIMIT ��� <br /> S�- � ,(�rnd� yzr � zo 3� <br /> W �j'N ��'�� eir� ���/ "ooRess zr oatrn.uco��� <br /> �!'ff/�✓'�"!/Qs <br /> �N� y8z cv Z� �t�� /9 <br /> PROP07ED WE OF SV0.DIN6 nBuNdlflp AMcIw�kYl AEEIbn NlAT bOURCE <br /> PERIAR d CombNatton PlumMnp W01lK R AlYratlon [��� <br /> TYPE D oMailion Slpn 1YFe D New �O�err <br /> l.� 9pdn�r D rt�w�+w�t. <br /> CONiAACT PRICE OF WORK ��! CfiV OF`{IER4TT IOCK S S TAIf CODE�S]106 <br /> woroc oescmmoN �G(.f 1_ � ��� I_ / � <br /> �U i'(��f�r- <br /> UMBINO ME <br /> N0. TYPE OF FUIIURE OR ITEM NO. TYrE OF FlXill11!dt fIEM <br /> _ WATERCLOSET(TOILET) AIC—MHANDLINGUNI7S <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASHV) _ HEAT PUMP <br /> _ SMOWER _ UNfTMEATERS <br /> _ KRCHEN SINK 6 OISPOSAL _ CLOTHES DRYER <br /> DISMWASHER RANGE HOOD <br /> UUNDRY TRAY � WATER MEA7ER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> _ URINAL FIREPLACE INSERT <br /> _ DRINKING FOUNTAIN ! OAS FIREPLAGE <br /> _ FLOOR ORAIN GAS RANGE <br /> BACKfLOW PREVENTER CiAS PIPING <br /> SINK(SERVICElBAR/MOPIET0.) _ El(HAUST FAN <br /> OTHER _ OTHCR <br /> I NEREBY CERRIFY THAT t HAVE READ AND E%AMINED THI$ApPl1CAT10N AND KNO�M 7HE 8MIE TO BE TRUE AND CORRECT. ALL <br /> PROYISIONS OF LAWS AND ORIDINACE6 GOVEAMNGTMIS TlPE OF WOPK�M�LL BE COMPLIED WITH�MHETMER eP[qFIED IPREN OR <br /> NOT. TMC GRAMINO OF A AERMR 0068 NOT PRlSUME TO W VE AUTHORRV TO NOLATE Ofl CANCEL THE PROVISION OF ANV OTMiR <br /> 6TATE OR LOCAI UW RCGUUITNG CANSTRUCf10N OR THE VERFORMIINCE OF CONSTRUCTION. TMAT I AM AURIORIZEC OY 7ME <br /> OWNER OF THIS PROPERTY TO PEtiFORM TME WOFiK FOR WHICH MPUCATION IS MADE AND 1 COMVLY W RH 11E STAiE <br /> CON CTORS U .27 RCW M1D 299 / <br /> h� 4��L[V �[��� <br /> 5 �e o ar n �e <br /> DEBR i CREDIT CARDS ARE NOT ACCEPTED <br />