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T0:14252578857 ?.1 <br /> JLL-25-2005 10:07 FROM: �- <br /> f _� <br /> \ <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> � 32C0 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810-FAX 425-257-8857 <br /> pARCEL TAX I.�.N PERMIT It <br /> SITE ADDRESS � C,� <br /> So2 �'` �'1/ESt Do(Q�oo� 800 �7 - <br /> LE LOT N0. BLOCK ��T <br /> DESC. <br /> ORESS ZIP PNONE <br /> �C.lSah C--i i I � 85-02 (n��vp.f� �'-�/- A�2� �r 3ST'3 S�ln% <br /> TENANT�NAME <br /> CON'fACT FOR PEltM1T PHONE <br /> �u �� ,{�n d� �t/i�` 7 zo 32/P <br /> ADDRESS 21P CONTR.LI�ENlE M <br /> cl.U�s+l ��� �'�� !��y'j�i�� p� Q C�i'�JffiE,l9�it�g <br /> PHON� �Z 7LC� � � . �`e. 'GIl��N I T <br /> PROPOSEDUSEOFBUILOING ('") Bulldinp MeChBnical . Addillon HEATSWRCE <br /> PERMR I-� �mbination PlumWng WORK Nla�uon Ei�etric <br /> .S r"� TypE K DemollUon Slp� TYPE � New �Gas <br /> U Sprinkler RepaldMaint Olher <br /> CONTRACT PRICE OF WORK �� C!� � CITY OF EVERETT LOCAL 9ALE9 TAX CODE IS 7105 <br /> Wo�vlS-�l��� �r��lQc�e �-l�t S� `�/ a-°' o�' �f �'�'� <br /> � <br /> — PLUMBING MECHAN�CAL <br /> N0. TYPE OF FO(TUftF OR:TEM NO.. 7YPE OF FURURE OR ITEM <br /> WATER CLOSET(TOILET) _ aC-aHA�OLING UNITS <br /> BATHTUB _ FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER _ UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL _ CLOTHES DRYER <br /> RANGE HOOD <br /> I _ DI3HWA3HER — yyq7�R HEATER <br /> � _ LAUNDRYTRAY — METALFIREPUICFJSTOVE <br /> I = CLOTHcS WASHER � p�REPLACE INSERT-Cxf <br /> URINAL GAS FIREPLACE <br /> � _ DRINKING FOUNTAIN — GpS RANGC• <br /> FLOOR DRAIN GAS PiPING <br /> BACKFLOW PREVENTER � F7(HAUST FAN <br /> SINK(SERVICEIBAR/MOPIETC.) — OTHER <br /> OTHER - <br /> 1 HEREBY CERITIFY THAT I HAVE READ AND E%AMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND COfiRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING TMIS TYPE OF WORK WILL BE COMPLIED WITF1 WHEfHER 9PECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGUTATiNG CONSTRUCTION OR TME PERFORMAP�CE OF CONSTftUCTION. THAT I AM AUTHOF3IZED BV TFiE, <br /> OWNER OF THIS PROPERTY TO PERFORM THE�/'10RK FOR WHICH APPt1CATI0N IS MAD�M101 COMPLY WITH THE STATE <br /> CON CTORS LA .2T RGW AND 296.2 <br /> �/�da � ! ^ �/ 7/�21� <br /> a re o erT ntrector A t dzed Apent Date <br /> DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />