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MRR-20-2006 08:59 <br />FROM:PERMIT 4257756315 T0:14252578857 <br />�RMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 4p5-257-8857 <br />SITE AUDRESS <br />! S'/�% <br />LEGAL L07-- <br />�Oy`` .S� <br />I B�OCK TRACT <br />�n�f�, ,n n , ' ADDRESS <br />_ �. as(,rIK. �`�i/�QQ'%i4Vl lSl�{ .-t'i0�' <br />��u� �r�s� � - <br />}�jff,�^�� _ (�Q^��� AODRESS <br />� - . \� o�.,, � � <br />PHONE <br />2�0lO �-B'L LI7�r, � �Q�'YI ci1 <br />PROpOSED USE OF BUILDING <br />U �� <br />CONTRAC7 PRICE OF WORK � <br />WORK DESCRIPTION <br />�f h S��l <br />TAX I.D, # PERMIT p <br />���/���+ I Mn/nr <br />� �c�-.Pff 9�z�� -z. <br />f FOR PERMIT <br />d� yzs- <br />j� Building <br />PERMIT � Cam6ination <br />T�"PE D Demolition <br />�-! Sprinkier <br />�D�S� -- <br />���- 8y�� <br />P.1 <br />Z�P CONTR. LICENSE M <br />L�tl�/�J'�/�=f97/ (,2g <br />rviecnanical Addillon I NEAr90URCE <br />'Plumbing WORK �Alteraticn <br />Sign rypE Eleclnc <br />New Gas <br />RapairlMalnt. Olhar <br />CITY OF EVERETT LOCAL SALES TqX COOE IS 3105 <br />i H� 9 �f �'r�e�t'4c� �Lvt �� �l z.o �/ �a -� <br />IA�wr� _ . �� ���/�J <br />N0. I TYpE OF FIXTURE OR ITEM <br />WA7ER CLOSET (TOILET) <br />BATHTUB <br />LAV,�TORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWqSHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRqIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/=_TC.) <br />OTHER�_ <br />NO. I TYPE OF FIXTURE OR ITEM <br />_._ �v�.-wnr�rvuu�vGUNITS <br />__ FORCED AIR SYSTEMS <br />_` HEAT PUfr1P <br />._ UNIT HEATERS <br />_ CIOTHES DRYER <br />_ RANGEH00� <br />._ WATER HEP.TER <br />_ META! FIREPLACE/STOVE <br />FIREPLqCE INSERT <br />Z GAS FIREPLACE <br />GAS RANGE <br />� GAS PIPING <br />_ EXHAUSTfAN <br />_ OTNFR <br />��_ <br />I HEREBY CERITIFY THAT 1 HAVE REAO AND E!(AMINED THIS APP�ICATIOPI AND KNOW THE SAME <br />PROVISIONS OF LqWS AND ORIDINACES GOVERNING THIS TYPE OF WORIC WILL BE COMPLIED WIT.4 YHE7HER SPECIFIEDC ERE N OR <br />N07. 7HE GRAN7ING OF q pERMl7 DOES NOT PRESUME 70 GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL I.qW REGUL4TING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUC710N. THAT I AM AUTHOR12ED 9Y THE <br />OWNER OF THIS PROPER7Y TO pERFORM THE WORK FOR WNICFf APpLiCATION IS MADE AND I COMPLY W�TH TI1E STATE <br />CONTR(pCTORS LAIAI,cA,p7 RCW AND 296.200YJ,p�. <br />AZ � 1 , �) , <br />✓ <br />�zr��r�/s.� <br />DEBIT � CREDIT CARDS ARE NOT ACCEPrFn <br />