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OCT-26-2005 14:53 FROM:PERMIT 4257756315 T0:14?52578857 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 � <br /> �1� �,o- s� <br /> SITE ADDRESS PARCEL TAX I.D.A' �MI7� <br /> z�Z� / l�e ' �ve- C�o�f39/�CnsGo/ov .� - <br /> IEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER / ADDRESS ZIP PHONE <br /> t'VI.LC�tia� / ��yP/7 ��� ZS�/ ��/�e.I �i-e, y�'Zo/ `�S-3��q-T�' <br /> TENANT NAME CONTACT FOR PERMIT . PHONE <br /> �S'u rwz� i ,(�iZd�. yz.s� ���r�s� <br /> CONT CTOR ADDRESS 21P CONT0..LiCENSE N <br /> W�J'+�l �l'i�'�l.t ��N1l�J CeJ75�J'fl��.1/��4q <br /> P�o,�E lv 2-SZ '7c� �t� `/h n. ��e /�s��'�9 `4 <br /> PROPOSEUUSE FBUILDING Buflding �Mechanical I Addition HEATSOURCE <br /> � y, � PERMIT R Combinatlon PlUmbing WORK � Altera0on �Electrit <br /> 7iJ/ � tYPE D Demolftipn Slgn 7YPE U. New Gas <br /> 1 /� U Sprinkler �Bepatr/Mainl. O�her <br /> GONTRACT PHIC OF WORK � ���- CITY OF EVERETT LOCAL 9ALE9 TAX CODE IS J105 <br /> WORNOESCRIPTI N � �� ��r ��� ���� <br /> pLUMBING MECHANICAL <br /> N0. TYPE O FIXTURE OR ITEM NO. TYPE OF FlXTURt OR ITEM <br /> WATER C OSET(TOILET) A/C—A/HANDLING UNITS <br /> BATHTUB FORCED A!R BYSTEMS <br /> LAVATOR (WASii BASIN) _ HEAT PUMP <br /> SHOW ER UNIT HEATERS <br /> KITCHEN INK 8 DISPOSAL CLOTHES DRYEF <br /> OISHWAS ER RANGE HOOD <br /> IAUNDRY RAY � WA7ER HEATER <br /> GLOTHES ASHER METAL FIREPIACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> �RINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR D IN GAS RANGE <br /> BACKFLO PREVENTER GAS PIPING <br /> SINK(SER ICE/8AR/MOP/ETC.) _ EXHAUST FAN <br /> OTHER OTHER <br /> I HEREBY CERITI THAT 1 MAVE REAO AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF WS AND ORIDINACES GOVERNING THIS TYPE OF WORK\YILL BE COMP�IED WITH WNETHER SPECIFIED HEREIN OR <br /> N07. TNE GRANTI G OF A PERAIIT DOES N0T PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEI THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL W REGULATING CONSTRUCTION OR TME PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE, <br /> OWNER OF THIS P OPERTY TO PERFORM1I THE WORK FOR WHICIi APPLICATION IS MADE AND I COMPLY W I7H THE STATE <br /> CONT CTORS .27 RCW ANU 296.2U <br /> �4 � � r��2-cp or <br /> SI at re o Own rlGonlractodA nzetl Agent Date <br /> DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />