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SEP-29-200r 11:29 FROM:PERMIT 4257756315 T0:14252578857 P.2 <br /> PERMIT APPLICATiON <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-BB10- FAX 425-257-8857 <br /> SITE ADDRESS '/ PARCEL TAX I.D.N PERMIT/ <br /> 1 3 brc�. V���Lr� C�� 33 u.LJQUZ�� � 1 r <br /> LEOA LOTNO. OLOCK TRACT <br /> DESC. <br /> � R ADDR ! IP PlSONE <br /> Ra I�h �Gi'��!f l�t(3 QrGti �P.��h �'-U1,/�r �'1�20� S/3 l .3 <br /> TENMIT NAME . ¢ONTACi f01!�EM1R �MONC <br /> ,1'� �{_ � � �C-lnd� yi.s- ��a��Pa�r�s/r7 <br /> �W��,� �N��� �n ���n' ADDRE33 � � � 2�P CONTR.LICENEE� <br /> iu��►� �t'•I Y/UW A� � /� <br /> PNONE �Z �/� �w � /����I/ 7 W/TUyI��7I((� <br /> i v((� <br /> PROPOSED USE OF EUILDING I I") Building �(MBchaniCal AOAltion HEAT SOURCE <br /> S !� PERMIT �—S Combinatbn Plumbing WORK BAtterenm Ekctric <br /> �` TYPE j� DP olkfon �`Slpn TYPE D.Ne� I �pae <br /> lJ S dnkler I�Re alr/Molnt. l� Ol�er <br /> CONiRACT PRICE OF WORK ���` � Clfl'OF EVERETf LOCAL SALE!TA7f CODE 18�100 <br /> WORK DE9CRIPTION <br /> ��i,f '�m4C� C�.4Ndcu L.� <br /> Gjo� �r,c b7�,J <br /> PlUM81N13 MECHANICAL <br /> NO. TVOE OF FIKTURE OR ITEM NO. TVPE OF FIXTURE OR ITEM <br /> _ WATER CLOSET(TOILET) AIC—A/HANOLING UNITS <br /> _ BATHTUB Z FORCED AIR SYSTEMS <br /> IAVATORY(WASH BASIN) HEAT PUMP <br /> _ SHOWER ` UNIT HEATERS <br /> KITCHEN SINK 6 DISPOSAL CLOTHES DRYER <br /> OISHWASHER RANGE HOOD <br /> LAUNDRYTRAY WATER HEATER <br /> CLOTHES WASHER METAL FIREPIACE/STOVE <br /> URINAL FIREPIACE INSERT <br /> �RINKING FUUNTAIN GAS FIREPLFCE <br /> � FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) EXHAUST FAN <br /> OTHER OTHER <br /> I HEREBV CERITIFV THAT I MAVE READ AND EYARAINEO TFIIS APPLICATION AND KNOW TNE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF IAWS AND ORIDINACES GOVERNING TMIS TYPE OF WORK WILL BE COMPLIED WITH bVHETHER SPECiFIED HEREIN OR <br /> NOT. THE GRANTItJG OF A PERMIT DOES NOT PRESUME TO GIVE AU7MORITY 70 VIOLATE OR CANCEL THE PROVISION OF ANY OTMER <br /> STATE OR LOCAL t_•?W REGULATING CONSTRUCTION OH THE PERFORMANCE OF CONSTRUCTION. TMAT I AM AUTHORIIED BY TME <br /> OWNER OF THIS PkJPER7Y TO PERFORM TME WORK FOR WHICH APPLICATION IS MADE AND I COMPL'f WITM TNE STATE <br /> CONT CTORS LA .4)RCW AND 296.20 <br /> G�ca'4 �� ����6f� <br /> S at re cl OwnedContrector/A nzed Agent alo <br /> DEBIT d CREDIT CARDS ARE NOT ACCEPTED <br />