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RPR-12-2e05 10:51 FRDM: T0:14252578857 P•� <br /> ( t <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 /> SITEADDRESS PARCELTA%I.D.N PERMIT�J I <br /> Z l l �• UIG4�7� e (Jr o4� UGS� Y1�I � � � <br /> LEGA LOT NO. E'IOCK TItACT <br /> DESC. <br /> AOD E�3 IP PMONE <br /> OWNER — <br /> �eo�je �.Cer,feh zl � Cr Vl� T.rd�e�v L'Ys�-r{f iG�� �ZS�-�la�� <br /> TENANTNAME CONTACTFORPERMI7 PHONE <br /> � �(-l�zd� �is 7 70 3� <br /> CO CTOR ADONESS ZIV CONTR.UCENSEM <br /> PNuJ��il �!'to�'�[� ��1l�1 L•�f�!'y�r.l9�icZg <br /> �olo z-S Z ��v z� 7h g. k'����/9 <br /> PROPOSEO U9E OF BUILOIN6 � Building Mechaniwl Addltlon HEAT SOURCE <br /> PERMIT Cambinalion �Plumbing WORK R Allerallon Q �e�� <br /> ,�—!� TYPE Demolf6on p Slgn TYPE D New -P9 Gae <br /> S•Y►e_ Spdnkler C� Repalr/MaInL LJ Otlier <br /> CONTRACT PRICE OF WORI( �Q�� � CITY OF EVERETT LOCAL SALES T/UC CODE IS 7105 <br /> WORK DESCRIPTION <br /> Gk-s tn �i+-s l�r �12� CI14n <br /> PLUMBING MECHANICAL <br /> Hp. TYPE OF FU(TURE OR ITEM NO., TYPE OF FIXTURE OR ITEM <br /> WATER CLOSI:T(TOILET) _ NC-AIHANDL�NG UNITS <br /> BA?HTUB _ FORCED AIR SYSTEMS <br /> LAVATORY(WASN BASIN) _ HEAT PUMP <br /> SHOWER _ UNIT HEPTERS <br /> KITCHEN SINK&D�SPOSAL _ CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> LAUN�RY TRAY � WATER HEATER <br /> _I CLOTHES WASNER METAL FIREPLACE/STOVE <br /> URINAL = FIREPIJ+CE INSERT <br /> ORINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN _ GAS RANGE <br /> BACKFLOW PREVENTER _ GAS PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) _ EXHAUST FAN <br /> OTHER _ OTHER <br /> 1 MEREBY GERITIFY THAT 1 HAVE REAU AND EXAMINED TF115 APPLICATION AND KNOW Tt1E SAME TO BE TRUE AND CORFECT. ALL <br /> PROVISIONS OF LAWS AND ORIOINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITN WHETHER SPECIFIEO HEREIN OR <br /> NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORIN TO VIOLATE OR CANGEL TME PROVISION OF ANY OTHER <br /> OWNER OF TH S PROPERTY TOTPERFORM THE WORK fOR WHIGH APPLICATION IS MADE AND I COMPLY WITH T11E STATE D BV THE. � <br /> CANT CTORS LA 27 RGW ANO 296.20�. � J/�b� <br /> �✓N�[��n 4'u� l l <br /> 51 a reT6wnerlContractor A Azetl Agent ete <br /> DEBIT& CREDIT CARDS ARE NOT ACCEPTED <br />