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MRR-29-2004 07:34 FROM: _ T�14252576857 P.1 <br /> .. <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810—FAX 425-257-8857 <br /> SITE ADDRES6 PARCEI.TAX I.D.• PERMIT It <br /> �53'Z kes �'V� Da 3 303 0 l'7� '�'` 03- vfc3 <br /> LEG LOTNO. BLOCR TRACT <br /> DESC. <br /> OWNER ADDRESS P PH E <br /> �n�l R�nes c G�i ts3z D�J ,4� 4�zar �r- z� �� <br /> TENANTNA6IE CONTACTFORPERMIT PHONE <br /> �qr� �v►ro c��.1'�l-u� C�v��lcc E��lxj 1�►— 2�G 2tiZ Y3�,U <br /> ���i� � y^�� ��J ADDRE68 21P CONTR.LICENSE N <br /> 'l Caut <br /> PHON�'O CP Z+�g2 �C"7�C.� `E�� W�� N/PiJ NI�T 7��6 <br /> PROPOSEOUSEOFBUILDING f� BUiWing f7�MeCheNC21 I AOtllllon MEAT�OURC� <br /> PERMIT ��t Combinatlon �`� Plumdnp WORK Allaratbn fk�F E,,lectric <br /> 7YPE K DemollUon �j Sign TvrE New ,�uas <br /> L) Sprinkter Repak/Malnt. U O�har <br /> CONTRACT PRICE OF WORK '2�� Z � CITY OF EVERETf LOCAL SALES TW(CODE IS 7105 <br /> V <br /> WORK DESCRIPTION <br /> G�c�,f .-� o�w .�Ur'vtac.e �n�.e au-� <br /> �(o� cx�o � S <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM N0. TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET(TOILET) A/C—AIHANDLING UNITS <br /> BATHTUB � FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOW ER UNIT HEATERS <br /> KITCHEN SINK S DISPOSAL CLOTHeS DRYER <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WATER HFATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> &4CKFLOW PREVENTER GAS PIPING <br /> SINK(SERVICEIBAR/MOPIETC.) _ EXHAUST FAN <br /> OTHER OTHER <br /> I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAM11E TO BE TRUE ANO CORRCCT. ALL <br /> PROVIJIONS OF L4W5 ANO ORIDINACES GOVERNING TMIS TYPE OF WORK WILL BE COMPLIED WITH WHETNER SPECIFlED HEREIN OR <br /> NOT. THE GMNTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERfORMANCE OF CONSTRUCTiON. THAT 1 AM AUTMORIZED BY THE <br /> OWNER OF THIS PROPERN TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONT L�RS L�78.2�RCW AND 296.�WAC. I�L I <br /> A l\/./_ �✓ c!t- <br /> ��yc f I"lU►�-�t-� <br /> SI at e ot wnedConUaclodA nze Agent ate <br /> DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />