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JRN-24-2005 10:08 FROM: <br />T0:±4252578857 P•3 <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org /` a y_b5 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - OEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />SI DDRESS PARCEL TAX I.D. M PEf�M1T # <br />�2f /l14 ��,c� � 66 3�� S-7'72 Go�'ocl i�[ <br />LEGA LOiNO. BIOCK TRACT <br />DESC. <br />OWNER AODRES9 CIiY21P PMONE <br />�o�-e✓F f�-�% 32-13 �(itD� S'F �'f3 �uP,r�2�q'��l � <br />TENANTNAME � CONTACTFORPERMIT PHONE <br />� •- � �l Ul�'i� �{z s �7�0 �� <br />CONTRACTOR � <br />CONTR. <br />USE OF B111L�ING <br />s1��- <br />HEATSOURCE <br />_ Eleclric � Gas _ Other <br />ciTraia <br />rnvne �L�r,o <br />?�2 Y`7Ud <br />CONTRACT PRICE OF WORK <br />(� C�o/ <br />WORK D�C(LRI J 0� ��,i J W� I�L� C��'(4-r%�iG " V <br />NO. I 7YPE OF FlXTIJRE OR ITEM <br />Balhtub <br />Lavetory (wash basin) <br />Shower <br />Kltchen sink & disposal <br />Dishwa�hur <br />Clothes washer <br />Laur.dry tray <br />Sink (servicelbarlmopletc.) <br />Batkflow prevenler <br />Urinal <br />Drinking Fountain <br />Floor draln <br />Grease trap <br />Roof drains <br />Other <br />NO. <br />TYPE OF FUfT11RE OR ITEM <br />AIC — air handling unils <br />Forced air systems <br />Ges piping <br />Water heater <br />Gas firepiace <br />Ges range <br />Cbthes dryer <br />Rangohood <br />Exhaust Mn <br />Heal pump <br />Unll heater <br />Boller <br />Refrigeration <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES 7AX CODE IS 7105 <br />I here6y ceritity that I have read and examined lhis applicalion and know the samo to be true and correct. All provislons of laws and <br />ordinaces governing thls type of work will be complied wilh whether specified herein or not. The granllng of a pertnit does not presume <br />lo givo authority to violale or cancel the provision of any other stata or lacal law regulating consWctlon or the per}ormance of <br />constructian. That I am authorized by the owner of this property to peAorm the work forwhich applicatlon is made and I compty with Ihu <br />State C ntracmrs Law 27 RCW and 298.200 WAC. r/2�/^y <br />!� <br />�I�.tc��, rn1 � c w <br />