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SUN-5-2006 10:07 FR01•1:PERh1IT 4257756315 T0:14252578857 , P.2 <br /> ---�---� -- � <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, [VERETT', WA 98201 <br /> 425-257-8810— FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAl( I.D.A 2�� PERMIT tt <br /> �Z�ZS k�S � �oCo � Z .J�a�C� ��'Vl l�O�v - �� <br /> LEGA LOTNO. 6LOCK TRACT <br /> DESC. <br /> OWNER A��RESS 21P PHONE <br /> �5ns o � �oru�u..� 2'Iz5' �lrQJ 7� �IP��� �zS-3�Y7�3�a <br /> TENANT NAME CONTACT FOR PERMIi PHONE <br /> � � ���d� yzr 2��- 8�15� <br /> CONTRACTOR �� r� �n�� r ADDRESS 21P CONTR.LICENSE p <br /> PHW RcJ,f'I �I�/ ��I V/c.�./ <br /> Z� 7`h k`e ' '���g�`/9 G�1"!�J'fli�.19�i c�g <br /> 2o�c z-8 L 7cr� � g,� <br /> PROPOSED USE OF BUILDING I'� Building I�Mechanical f"1 Addition I HEAT SOURCE <br /> PERMIT �_� Combinallon H Plumbing WORK K Alle�ation B� Eleclric <br /> /��A� '�1,, TYPE �_l OemollUon �� Sign TYPE 1_L New f Y Gas <br /> �/Y�61�✓` � LJ Sprinkler �(I ReDalr/h1ainl. U Olher <br /> CONTRACT PRICE OF WORK /2� , — CITY OF EVERETT LOCAL SALES TAX CODE IS 9105 <br /> WORK DESCRIPTION <br /> Q'u,I Cda�{er'�Q�,- �2 y,�cQ ly <br /> V <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET(TOILET) AIC-AIHANDLING UNITS <br /> BATHTUB FORCED A�R SYSTEMS <br /> � LAVATORY(WASFI DASIN) HEAT PUMP <br /> SHOW ER UNIT HEATERS <br /> KITCHEN SI�K 8 DISPOSAL CLOTHES DRYER <br /> DISIiWASiiEF RANG[I IOOD <br /> IAUNDRY TW1Y � WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACEJST�VE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUN7AIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVEIJTER GAS PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) EXHhUST FAN <br /> OTFIER OTHER <br /> 1 HERE�Y CERITIFY THAT I HAVE READ AIJO E.�(HA7INED THIS APPLICATION AND HNO�V THE SAME TO BE TRUE AIJD CORRECT. ALL <br /> PRO\'ISIONS OF WWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COAIPLIED WITH`.VHFTHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERh11T DOES NOT PRESUAIC-TO GIVE AUTHORIN TO VIOL4TE OR CANCEL THE PROVISION OF ANY OTHER <br /> S7ATE OR LOCAL LAW REGUI-ATING CONSTRUCTION OR THE PERFORAWNCE OF CONSTRUCTION. THAT I A�d FUTHORI2ED OY THE <br /> OWNER OF THIS PROP[RTY TO PERFORD.1 THE 6VORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONT CTORS LA' 2)RCNJ AND 296.20py�p�} � /���� <br /> ��/ll��. �j �j�! �/ � <br /> si�a3re o Ow rne /ContractodA nzed Agent ale <br /> DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />