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MfiY-24-2005 08:14 FROM: T0:14252578857 P.1 <br /> e <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810-FAX 425-257-8857n <br /> O�G- // / c76 e� oo�� c7 <br /> SITE ADDRESS � � � I PARCEL TAX I.D.A PERMi7 r _ � <br /> �''`L3 1� # � I Go��/Doouo /00 I /�V� �'% .. - '. / <br /> LEGAI LOTNO. 6LOCK TRACT <br /> DESC. <br /> OWN R ADDRE93 ZIP PMONE ZpG <br /> Asuo K �2.edv y 4�1a3 V�.!'P��''`� l ��e�9� �3 ss-o �-,,3 <br /> TENANi NAME CONTACT FOR PERMIT PHONE <br /> ,f�'Ixp� I i(�lrldti yis 7 zo 3�'P <br /> C��T�� ��� (�n �.�`n' ADDRESS ZIP CONTR.LICENSEfI <br /> V d�'/ Y/lL',/ �]� � ,� I �- r� r <br /> � PHO�NE�/ .� m !/V K/ �/� K`Q' W L YJ�Ia W//�/�/��7I� <br /> �✓1(/ "'D�i 7� �i. / <br /> PROPOSED USE OF BUILDING BUfltling MBChe�IC21 I n_AdClllan I HEAT SOURCE <br /> PERMIT B Combinallon Plumbing WORK p�AltenHon � Eleevic <br /> ' �r'�_ 7YPE D DemollUon Slgn TYPE D New Gas <br /> U Spdnkier L� Repah/MaInL I Other <br /> CONTRACT PRICE�F WORK ' CITY OF EVERETT LOCAL SALES TAX CODE�S 7105 <br /> WORK DESCRIP710N <br /> �Ins�llrr� ��J �rp�ns � 2�c��c, — � �� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO., TVPE OF FIXTLRE OR ITEM <br /> WATER CLOSET(TOILET) A/C—A/HANDLING UNITS <br /> � BATHTUB FORCED AIR SYSTEMS <br /> + LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> LAUNDRYTRAY WATER HEATER <br /> � CLOTHES WASHER METAI FIREPIACEISTOVE <br /> URINAL PIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPIACE <br /> _ FLOOR DRAIN � GAS RANGE <br /> BAChFLOW PREVENTER GAS PIPING <br /> SINK(SERVICElBAR/A70P1ETC.) EXHAUST FAN <br /> OTHER OTHER <br /> I HEREBY CERITIFY THAT I HAVE REAO AND EXAMINED THIS APPLICATION AND KNOW THE SM1E TO BE TRUE AND CORRECT. ALL <br /> PNOVISIONS OF LAWS AND ORIUINACES GOVERNING THIS NPE OF WORK WI�L BE GOMPLIED WITM WNETHER SPECIFIEO HEREIN OR <br /> NOT. THE GRANTiNG OF A PERMIT�OES NOT PRESUME TO GIVE AUTMORITY TO VIOIATE OR CANCELTHE PROVISION OF ANY OTHER <br /> STATE OR IOCAL LAW REGULATING CONSTRUCTION OR THE PERFORhUNCE OF CONSTRUCTION. THAT I AM AUTHORI2ED BY THE. <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLV W ITH T11E STATE <br /> CONT CTORS LA 27 RCYJ AN�29620 <br /> �� � ���� �"��l�r � <br /> SI e re af OwneUCOMractorlA tlzed Agent Data <br /> DEBIT& CREDIT CARDS ARE NOT ACCEPTED <br />