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aUu-7-2�06 11: 1� FF.Oh1:PERMIT 4257756315 T0:14252578857 P•2 <br /> � _._ <br /> PERMIT APPLICATION, <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, FVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 �0(�p F -p/U <br /> SITEADDRESS �C.. ��pR�c_��,$;.p,Z40Q U� �n�.R,M�7 ,-vC7 <br /> � �-P(� k_C..�IC�v 7 xa � ML'U , <br /> LEGAL LOT N0. 13LOCK TRACT <br /> DESC. <br /> OWNER /� ADDRESS ZIP PHONE <br /> �2�i� ��'t''.cl�1�'l0'►'� �(2(�l�ul�Cs,i �/�. ��Z!'J� 7�Z��o ��0 <br /> TENANTNAME CGN'�ACT FOR PERMIT PHONE <br /> d'Q Glt� I �C-1�1 d�_ �2,s 27rj - 8'�t�^� <br /> CONTR CTOR n � ADDRESS 21P CONTR.LIC(:NSE p <br /> w�sN =rw.ry[� �P.rv7C�J <br /> PHO�Z,N��O '"DL 7� �� 7"flos�vi k� �� � GrJ"/`�Jy��J9��c�g <br /> Y�'/9 <br /> PROPOSED USE OF BUILDING Buildiny MUChanlCal AddiGon I HEAT SOURCE <br /> �� � PERMIT B Combina0on h�m6inp WORK Allarallon Eleclrlc <br /> TYPE U Domollllon �ign TYPE �New �Gas <br /> �� Sptlnkler FtepairlMalnL I LI ome. <br /> CONTRAGT PRICE OF WORK � � � CITY OF EVERETT LOCAL SALES TAX CODE IS]105 <br /> WORK�ESCRIPTION <br /> Gj CL,I� fi(l�.'�P�✓�Q��" ��14�G1'�Q�C <br /> V <br /> PLUMBING ryIECHANICAL <br /> !�O. TYPE OF FIXNRE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> _ WATER CLOSET(TOILET) A/C-NHAN�LIIJG UNITS <br /> BATHTUB FORCED AIR Sl"STEMS <br /> LAVATORY(WASfi BASIN) HEAT PUMP � <br /> SHOW ER UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> DISHWASHER RqNGE HOOD <br /> 1,4U1JDRYTRAY � WATERHEATER <br /> + CLOTMES WASHER METAL FIREPLACElSTOVE <br /> URINAL FIREPLACE INSERT <br /> ORINKING FOUNTAIN GAS FIREPLACE� <br /> FLOOR DRAIN GAS RANGE <br /> 9ACKFLOW PREVENTER GAS PIPING <br /> _ SINK(SERVIC[/8AR/MOP/ETC.) EXHAUST FAN <br /> OTHER OTHER <br /> — — I <br /> I HEREBY CERITIFY THAT I HAVE REAU ANU EXNMINED TNIS APPLICATION AND KNOW THE SAA7E 70 BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAVJS AND ORIDINACES GOVERNING THIS TYPE OP WORK WILL 8E COMPLIED WITH WHETHER SPECIFIED H[RGIN OR <br /> NOT. THE GRl�NTIYG OF A P�RA11T DOES NOT PRESUAIE TO GIVE AUTHORITY TO VIOL4TE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGUIJ�TINC CONSTRUCTION OR THE PERFOR�.IANCE OF CONSTRUCTION. TFIAT I AM AUTMORIZEO BY THE <br /> Olt'NER OP THIS FROPERTY TO FERFORM THE VJORK FORN'HICH APPLICATION IS MAOE AND 1 COAIPLY\VITH THE STATE <br /> CONTR CTORS LA .27 RCW Ah0'296.20DkVf�. � ` � /� � <br /> G�4 i�t„__�lJ � � __ <br /> Si al re of Owner/Contractor/AuthLnzed Agent � ate <br /> L/ <br /> DEBIT 8, CREDIT CARDS ARE NOT ACCEPTED <br />