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MAR-17-2004 21:0� FROM: -' _42`c578857 P.1 <br /> PERMIT APPLICATION <br /> CITY OF EVERE'�T PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857 <br /> SITEADDRESS32� �Zna�S/,� DLPOCP I.D.ZL�'-'�2 !� I II�R ��"� d'f� <br /> �t.J <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRE55 ZIP PHONE <br /> 17RV�D F�A-rf2�!' 32�- `E2"`� .Sf J4J �c�er� SE�'�3 �zSZSZ(�9/� <br /> TENAN'i NAME CONTACTFORPERMR PHONE <br /> `�W rc� �vl.¢�-+ I CAhcP�� �j�/�i J GS✓ �4 232`P�� <br /> CONTFtqCi O� ^ � ^_ �,�`n n ADDRE95 ZIP CONTR.UCENSE M <br /> W � �..N/1/C Q�r�a�J <br /> ✓ <br /> PH�3o� ZBz�� �`7�'�l ��}-r/,�C..� �11�Q-�/ 4�A-SKIE'.f�j7lc�g <br /> PROPOSED USE OF 8111L01Nc f'1 Buil ing ISd Mechanical � nddi6on HEAT SOURCE <br /> PERMIT K CAmbinaUon H Plumhing �N.'CAK Itentlon �ny Eluclric <br /> S� TYpE �_t Demolilion LJ Sign TY?E New �j Gas <br /> LJ Sprinkler RepaidMalnt. Lj Other <br /> CONTRACT PRICE OF WORK '.J D/��, � CITY OF EVE'2ETT LOCAL SALES TAX COOE IS 3105 <br /> vt 1 C�� i <br /> WORN OESCRIPYION <br /> �ns�l( --�r�eP��P 9�'_/n�' �� 3� `o�y�' P'O�'�- <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR TEM <br /> WATER CLOSET(TOILEn A/C-A/HANDLING UNITS <br /> BATHTUB FORCEL'AIR SYSTEMS <br /> _ IAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER UNIT IIEATERS <br /> KITCHEN SINK&DISPOSAL CLOTHES DRYER <br /> DISHWASHER Rl��JGE HOOO <br /> LAUNDRVTRAY WATER HEATER <br /> CLOTHES WASHER A4ETAL FIREPIACE/STOVE <br /> URINAL � FIREPLAGE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOP.DRAIN GAS ftANG� <br /> BACKFLOW PREVENTER � GAS PIPIt.G � <br /> _ �INK(SERVICEIBAR/A10PlETC.) EXHAU°?=Std i <br /> OTHER OTHER_ <br /> — i <br /> I HEREBY CERITIFY TNAT I HAVE READ AND EXAMINED THIS APPUCAT�ON AND KNOW THE SAME TO BE TRUE AN�COkRECT. ALL <br /> PROViS10NS OF L4W5 AND ORIOI�ACES GOVERNING THIS NPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORIN TO VIOLATE OR CANCEL THE PROVISION OF..NY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. TH.1T I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH APPlICA710N IS MADE AND I COMPLY WITH THE STATE <br /> CONTR TORS LA 10.2i RCV�AND 29fi.200 WAC. I <br /> 1�v�4 /� 3�� D � <br /> S�g ur o OwnedConlrector/A nzed Agenl Dat <br /> DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED I, <br /> I <br />