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MRR-17-2004 21:04 FROM: ?G:14252578857 P.2 <br /> � <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810-FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TA7C I.D.K MIT M � <br /> 212 I f2UcX�-� � Doy-3 I 33a1 a'x� l 0 03 `L�� <br /> LE LO7N0. BLOCK TRACT <br /> DESC. <br /> 1 MON <br /> �oe c,u��su� Zlz� �cx.kvr r4c1� `�uef�N- �'8ao� �Izr 33q � <br /> TENANTNAME CONTACTFORPERMIT PMONE <br /> � � c�.r�(ic� qa�l�s� aa4�s z�w <br /> CONiRACT AQDRE33 LP CONTR.LICENSE N <br /> WR�� �n�j� �eN(ceS ,�e�� <br /> .�°"z�, z�z �'-t1��+d �c,e �fke � `�14�' ��hc�,f97/�3 <br /> PRO�00lD U�E OF OUILDINO Bulldinp MGchanicel AEdiqon NEA760URCE <br /> PERMIT B COmbk72tbn � Plumbing wORK �Alteratla� ,D Electrle <br /> TYPE DemoNtlon Sign 7rPE New 1CJ Gas <br /> S't'-2 B Sprinkbr � RepeklMdnL U 01her <br /> CONTRACT PRICE OF WORI( 3 �O q� OO CITY OF EVERETT LOCAL SALES TAX CODE R 3105 <br /> WORKDESCRIPTION `-�nCr II '� 1n1�t( ,�v�k.fers Wt�rG2�W� �� t �� <br /> J�Z` c�as P���"�' <br /> MBIN MECHAHICAL <br /> NO. TYPE OF PI%iURE OR REM N0. TYPE CF FI%TURE OR IIEM <br /> WATER CLOSET(TOILE'T) AIC-A/FiANDLING UNITS <br /> BATHTUB FURCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUM.P <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> QISHWASHER RANGE H000 <br /> iAUNDRY TRAY � WATER HEATER—'�A'h�� <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER = GAS PIPING <br /> SINK(SERVICE/BAR/MOPlETC.) EXHAUST FAI: <br /> � OTHER_ OTHER <br /> I HEREBY CERITIFY TMAT I HAVE READ AND E%AMINED THIS MPLICATION AND KNOW THE SF\1E TO 9E TRUE AND CORRECT. ALl <br /> PROVISIONS OF LAWS AND ORIDINACES GOVFRNING Tr11S TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIEO NEREIN OR <br /> 1 NOT. TME GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AVTHORIN TO VIOL4TE OR CANCEI TME PROVISION OF ANV OTHER <br /> 3TATE OR LOCAL LAW RE6UlATING CONSTRUCTION OR THE PERfORMANCE OF CONSTRUCTION. THA71 AM AUTNO(tIZEO BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WMICM APPLICATION IS MADE AHD 1 COMPLY WITH THE STATE <br /> CONTRA TORS LA 18.27 RCVJ AND 298.200 WAC. <br /> � ,�,�1t � 3ln�o <br /> 5 gn re o er! ontrecWr/AutlW z Agent ate <br /> DEBIT 3 CREDIT CAROS ARE NOT ACCEPTED <br />