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GEC-15-2005 11:23 FROM:PERMIT <br />SITE ADDRE55 <br />�32� <br />LEGA LOT NO. <br />4257756315 TO:i4252578857 P.1 <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-88'10 — FAX 425-257-8857 <br />TAX I.D. # <br />BLOGN` TRAGT� <br />OWNER ^""..""' <br />-TG /f�2 f �.✓ 23zS" V��,y« �. <br />TENANT N�� I CONTACT FOR PE <br />, ,(,li1 d � <br />CONTR CTOR <br />WZ}J'� ��w.r�t1��P-prlriG�eJ,�. <br />PNONE .� Q /' Ci�"L/ // <br />%��� �'D7i �%Ki <br />PROPOSED USE OF BUILDING <br />V � <br />PERMIT <br />TYPE <br />CONTRACTPRICEOFWORK '7oQ� — <br />ADDRESS <br />PERMIT?� <br />� . �. fZJ—z�Z � <br />PHONE <br />2�5 8y5= t. <br />'LIP CONTH. uctn�e x <br />II <br />k�e � ��/9 «f�J'�!/�J97/ 44 <br />4• <br />Building � Mechanicai Addltlon HEATSOURCE <br />Combinalion Plumbing WORN R Alteranon n Electtic <br />DemollUon Sign NPE D New D Gas <br />Sprinkler U RepalrlMalnt. U ou,er <br />CITY OF EVERETT LOCAL SALES TAX CODE IS ]105 <br />WORK DESCRIPTION <br />G�4f GIJa� ��-74..-- ����L� <br />NO. I TYFE OF FI%TURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/bAR/MOP/ETC.) <br />OTHER <br />f:Ga <br />TYPE OF FU(TURE OR ITEM <br />A/C—A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTNES ORYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACFJSTOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />I HEREBY CERIT�FY THAT I HAVE READ AND EXAMINED THIS APPIICATION AND hNCW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS hN0 ORIDINACES GOVERNING THIS NPE OF WORK WILL BE COMPLIED 171iM WHE7HEft SPEGfIED MEREIN OR <br />S ATE OR LOCAL IIAW REGULATING CONS RUCT ON OR THG PERFORMANCE OF CO STRUCT OYN THA I AARAUTHORI2 D B�f O EMER <br />OWNER OF TNIS PROPERN TO PERPORM THE N'ORK FOR WHICH MPLICATION IS AWDE AND I COMPLY WITH TNE STATe <br />CONT CTORS L4 27 RCW AND 29620 <br />�,.. .� `�,._ _ _ . , ,°,`°� l i5'/oJ�" <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />