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JUL-e-2006 08:16 FROM:PERPIIT 4257756315 T���:14252578857 P. 1 <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 /> � �� 3�� <br /> SITE ADDRESS PARCEL TAX I.D.# PERMI7 n <br /> 3 7U 1 .��-LD�''� �-� UO Y3 3 U Uo //Q� /1'1 G ,� � ^cc;, - <br /> LEGA LOTN0. BLOCK TRACT <br /> DESC. <br /> OWNER AOORE35 ZIP PHONE 2� <br /> �dWu. �GP TzU(�2`�t/Lc� �7a1 ��2a✓�t�e �f8'7�� 3STL�JS <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> � Ta �� � ���d� yzr ���- S�W�� <br /> CONTR CTOR � `� (+n �.� `- ' ADDRESS 21P CONTR.LICENSE N <br /> W�J',N �j'fA�J �-. � c�.� L2 <br /> PHONE �j � y�� k.e �,,� {� C�i/ffrl�'.IJ7I� <br /> �� �= y7w �n.,`�.e_ ''�i� ��s� <br /> PROPOSEDUSEO: �•�ILDING I Bulld(ng �echam�al ACdlllon FiEAiSOURCE <br /> ��� PERMIT R Combination lumbing VlORK B Alteration [�EleGric <br /> TYPE g Demolition Slgn TYPE U New �] Gas <br /> Sprinkler �Repair/Mainl. 11 Olher <br /> CONTRACT PRICE OF WORK �Gb� � CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br /> WORK DESCRIPTION <br /> CP�t J' Lc��� `CPa-����CQl2t� <br /> V <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> _ WATERCLOSET(TOIL[T) A/C-AIHANDLINGUNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVAI'ORY(WASH BASIN) � IiEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK 6 DISPOSAL CLOTHES DRYER <br /> DISHWASHER RAtJGE HOOD <br /> _ LAUNDRY TRAY � WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URINAI. FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR ORAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIP�NG <br /> SINK(SERVICE/BAR/h10P/ETC.) EXHAUST FAN <br /> OTHER OTHER <br /> I HEREBY CERITIFI'THAT 1 HAVE READ AND EXA�tINED THIS APP�ICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALl <br /> PROVIS�ONS OF LAWS AND ORIDINACES GOVERNING THIS T'PE OF WORK INILL BE COI.IPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERh11T DOES N0T PRESUt.1E TO GIVE AUTHORITY TO VIOLATE OR C.VJCEL THE PROVISION OF ANY OTHER <br /> S7ATE OR LOCAL LAN'REGUWTING CONSTRUG710N OR THE PERFORh1ANCE OF CONSTRUCTION. THAT I AA1 AUTIIORIZED BY TH[ <br /> OWNER OF THIS PROPERT'TO PERFORAt THE N'ORK FOR 6VHICH APPLICATION IS MADE AND I COM1IPLY WITH THE STATE <br /> CONT CTORS LA .27 RCW AND 296.20 <br /> �a. �� 7����� <br /> Si al re o Owned ont�actor/A t i nzed Ac�enl -- � Date <br /> DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />