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��RY-22-2006 10:36 FROI�:PERMIT 4257756315 T0:1425257b`357 <br />�r ERMIT APPLICAT'�.�N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SITE ADDRESS <br />�Z� <br />LEGAL L0T N0. <br />DESC. <br />' TENANTNAME <br />I �o�� <br />[ <br />...20(� u3L y7� <br />PROPOSED USE OF BUILOING <br />sr� <br />:J .1-'� p <br />BLOCK TRACT <br />PARCEL TAX I.D. q <br />�z�3 Ye�� ,rf �.�,�f/ 9��3 <br />PERh11T p <br />7 `ES� <br />CONTACT FOR PERMIT vnone <br />�C���d� yzs 2-7�- �3�5� <br />�(�„ _ � �.n t ADDRESS <br />��%I� lXJ <br />?� %h�dc <br />� <br />Bullding <br />PERMI'. � COmbinati0n <br />T5'FE Demolilion <br />Sprinkler <br />CONTRACT PRICE OF WORK �'n � � �-� <br />P.1 <br />ZIP GONIY.LIGCnacw <br />E��!'�l/�J97/C�g <br />Idechanfcal I Addinon <br />Plum6ing WORK Alterallon <br />Sign IIYPE New <br />�Repa�r/Melnt. <br />HEATSOURGE <br />�Eledric <br />Gas <br />Olhor <br />CIIY OF EVERETT LOCAL SALES TA7( CODE IS 3105 <br />WORK DESCRIPTION �� r ��� ! / / n _�Q ��� <br />� Xii`��; �ii�lyi. �'j �7� <br />N0. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUD <br />LAVATORY M'ASH DASIN) <br />SHOWER <br />KITCH[N SINK 8 DISPOSnL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKIIJG FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PR[VENTER <br />SINK (SERVICFIRAR!MOPIETC.) <br />OTHER <br />N0. I TYPE OF FIXTURE OR ITEM <br />� <br />A!C - A/HANDLING UNITS <br />FORCED A�R SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />I�AETAL FIREPIACE/STO�E <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />II HEREE?Y CERII IFY THAT I HAVE RC-AO AND Ek/�M111NED THIS APPLICATION AND KNUN' I HE SA�dE 70 BE TRUE AN� CORREC7. ALL <br />PROVISIONS OP V+WS AND ORIDIN�CES GOV[RNING THIS Tt'PF OF WORK WILL BE COtAPLIED N9TH WHETHER SPECIFIED HER81N OR <br />NOT. THE GRAWTiNG OF A PER671T OOES NOT PRESLiIdE TO GIVE AUTHORITY TO VfOL4TE OR CANCEL THE PROVISION OF ANY Ol HEH <br />OWNFR OF TOHIS PROPERTY O,PEftFOR 1 THE WORK POR WHICH A P'LICATION IS OADE A DTI�COA PLY WIT'H THE STATE D BY THE <br />CONTR CTORS LA 27 RCW AND 296 �00.W� <br />l�kcl/e. 1Gl � U - -- --� Z.z� <br />Si al re ot OwnedConlractui/A1f � rized Agenl a� <br />4 � <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED _� <br />