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FEB-24-2005 07:17 FROM: <br />TO:14252578857 P.2 <br />I <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425.257-W57 <br />SITE ADDRESS <br />20)2- <br />PARCEL TAX I.D. r <br />PERMIT e <br />LEGALf LOT NM <br />BLOCK <br />TRACT <br />ZIP figau <br />Y�4rtGp/l rju/ l lb7— 5-�2d ,33 r� LJ �s1p,� 3��G --- <br />TENANT N411me <br />CONTACT FOR PEWIT PNONS <br />L(atc(�2S 444?,'770 3 z-81F <br />OWi ,TA �-_/„T^����jID.RE,3.,3�/,,fie' ZIP coNTR.LK:ENeEE <br />PROPOSED USE OF BUILDING <br />I Bvildinp Mochenicel <br />PEaR ComDlnebw Pluftft <br />WORK <br />AddlOon <br />NAl4nlbn <br />HEATSOURCE <br /># G61 <br />TYPEDonmOSDIT Sign <br />TYPE <br />New <br />Olher <br />I <br />gpllnldsr <br />R.PWMainL <br />CONTRACT PRICE OF WORK �/ '— <br />CRY OF EVERETT LOCAL SALES TAX CODE IS 3/06 <br />wowL DESCRIPTION <br />9jr9 <br />PLUMBING <br />MFZHANICAL <br />NO. TYPE OF FIXTURE OR REM <br />NO. TYPE OF RXTURE OR ITEM <br />_ <br />WATER CLOSET (TOILET) <br />A/C —A/HANDLING UNITS <br />_ <br />BATHTUB <br />FORCED AIR SYSTEMS <br />_ <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />_ <br />SHOWER <br />UNRHEATERS <br />KITCHEN SINK B DISPOSAL <br />R <br />_ <br />_ <br />DISHWASHER <br />LAUNDRY TRAY <br />im.l <br />CLOTHES WASHER <br />;fOVE <br />_ <br />URINAL <br />FIREPLACE INSERT <br />_ <br />DRINKING FOUNTAIN <br />GAS FIREPLACE <br />FLOOR DRAIN <br />GAS RANGE <br />BACKFLOW PREVENTER <br />GAS PIPING <br />_ <br />_ <br />SINK(SERVICEIBARIMOPIETC.) <br />EXHAUST FAN <br />OTHER <br />OTHER__ <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO ONE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY PERFORM THE WORK FOR WHICH APPUCATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRAqTqAS LAW 1827 WAC. 1 / <br />2=otorl Jam( <br />*VnaVure er <br />DEBIT d CREDrf CARDS ARE NOT ACCEPTED <br />