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JUL-8-2005 15:13 FROP1: <br />ro:iazs2s�eesv P.i <br />PERMIT APPLICATIO�! <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETf, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />�_ I/�-�s <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM - DEBR 8 CREDIT CARDS ARE NOT ACCEPTED <br />SITE ADDI <br />Z�Fo <br />PARCE TAX I.D. # <br />� O/ C� `�17c�a <br />LOT N0. I BLOCK I TRACT <br />ERM�i <br />3oc� �� .�� 7 � lv <br />DESC, <br />OWNER ` ADDRESS GITYlZIP PHONE <br />`�'��-ha� Schn� �f-� 2� I�V��cl� �'�a Q��T 3�-675 <br />TENANTNAME CONTACTPORPERMIT PHONE <br />���. c-t�c(� �ar � �� 3 � <br />C�R�TOfi , l+, _ �� ADDRESS �n� CITY2IP PHONE ��j� <br />t-� rt zv��.ti «;�. r:� c�,c/�/�''�,�� �y` <br />CONTR. LIGENSE N� „� rKL�=J ( ����CJ �� � � ` ` � -v <br />/�/ <br />USE OF BUILDING rh <br />U (� <br />WORK DESCRIPTION <br />NO. I TYPE OF FIXTURE OR �TEM <br />Toilel <br />Balhlub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink S hcsposal <br />Dishwashe� <br />Clothes washer <br />Laundry tray <br />Sink (service/badmop/aic.) <br />Back9o�v preventer <br />Urinal <br />Drinking FounWin <br />Floor drain <br />Grease trap <br />Rool drains <br />Olhor <br />HEATSOURCE <br />_ Elecvic �Gas _ 01her <br />CONTRACT PRICE OF WORK <br />f�l�-7�- he.a--la�- C�1��2fe�,� <br />� <br />TYPE OF FIXTURF OR ITEM <br />NC — air handling unils <br />Forced air systems <br />Gas piping <br />Water hoaler <br />Gas firep!aco <br />Gos rango <br />Clothes dryer <br />Range hood <br />Exhnuslinn <br />Heal pump <br />Unil heater <br />Boiler <br />Rehigeralion <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES 7AX CODE IS 7105 <br />I hereby ceritify thal I heve read and examined lhis appiication and know the same to be true and correct. All provis(ons of taws and <br />ordinaces yoveming Ihis type ot vrork wlll be complled with whether specified hereln or not. Tho granting of a pertnit does �ot presume <br />to give aulhority to vlolale or cancel ihe provislon of any other slate or local Iaw requlalinp consiruction or Ihe perfortnance of <br />construction. That I am aulhorized by the o�mer of this property to perlorm the work for which applicatlon Is made and I compty with lhe <br />Stale ConVactors la�N.78.27 RCW and 296.200 WAC. , <br />