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JAN-16-U2 WED 12�58 PM EVERETT 'RM1T SERVICES FAX N0, 425 257 " -7 P, 02 <br /> -� PFRMIT APPLICATION j,�;> >,[�,G`,,,.i'j�, � -_ , <br /> �,, VITY OF �VERET7' P�RMl7 SERVICES ; � ��. -� - � � � ;��' <br /> l� _ _ <br /> 3200 CEDAR STREET, EVERETT, INA 9B201, a25-257-esto MAR 0 8 2006 <br /> SITEA�opESS , PARCELTAXI.D.9 PEFMI7� M�'�(�3-GIo <br /> :��1� � ��� ���'- �O C�� ��f ��bC�CSC>(� l �-On �'�`� v ��t� E��E�,�E rr <br /> IECAL L07N0. BLOCK TRACT �� <br /> DESC. <br /> OWNER i ADDflE55 � PHONE <br /> 7���n;�;�ct'� r-��c-�L i �sYai , � �' R�'' �� ; �zs-3s� -zy�7 <br /> TENANTNAh1G I CONTACTNAME i PHONE <br /> CO'�� \ . ' ' � � A�DRESS CONTR.tICEN3�8 <br /> "fOTEf�1 , ,,,�:. �IAL CENTE � CT�UGUN055�P <br /> PH9NE 12? 1 -ith ST t# 43 <br /> PROPOSE�USE OF BUII.OING 6ullding Mechenlcal Atldluon HEAT SOUiiCE <br /> PER671T R�-( Combinalion Plumbing WORK � Alterauon � Elotlrb <br /> TYPE {-( �emolillon � Sign TYPE New Gas <br /> U Spfinklef � RcpaidMainL Olhar <br /> CONTRACT PHICE OF WORK �S3 �� CITY OF EVERE7T LOCAL 6AlES TAX CODE IS 3105 <br /> WdRK DESCRIPTION � <br /> �����L�1 E�� �~N� /.,C�? LC�F��Z-r� /��T L- <br /> pj�l�M I�jG MECHANICAL <br /> N0. TYPE OF FIX7URE OR REM N0. TYPE OF FIXTURE OR ITEM .. <br /> WA7EflClOSEi ^ A/C—A/HANOLINGUNITS <br /> BATfITU[t _, FOFCEDAIRSY97EMS <br /> LAVATORY(WASH BASIN) ., _ UNIT H ATER3 <br /> ^ SHOWER <br /> KITCHEN SINK&DISPOSAL _ CLOTHE6 DRYEfl <br /> � DISHWASHER RANGE HOOD <br /> �� LAUNDRY TRRY WATER HEATER <br /> CLOTHES WASHER ._ ME7AL FIREPLACE/STOVE <br /> � � URIN�L _ FIREPLACE INSER7 <br /> ORINKING FOUNTAIN _ GAS FIftEPl1�CE <br /> ! FLOOR DRAIN _ GAS RANGE <br /> BACKFLOW PREVENTBR GAS PIPING <br /> � SINK(SERVICE/DAF�lMOP1�TC.) � EXHAUST FAN �� <br /> -- 0TI9ER__-•�--�M = OTHER �/��� �j <br /> ,jR <br /> I HERF6Y CERITIFY THAT I tIAVE READ AN�EXAAIINE�7HI5 APPUCA7ION AND KNOW'HE SAME TO BE TRUE AND CORREOT, A4L <br /> pROVISiONS OF IAWS AND ORIDINACES GOVERNIN�TIIIS 1YPE OF WOHK WILL DE COMPLIED WITH\NHETHER 6PECIFIED FiEREIN OR <br /> NC1T. THt GFANTING OF A PERMIT pOES NOT PRESl1ME TO GIVE AUTHORIN TO VIOI.ATE OR CANCELTHE PROVISION OF�1NY OTHER <br /> OWNEH OF T�Ff S PflOf'EFTY OTWERFORh1 THE WORK FORNWHIGN APPM CAT ON IS MADE AND I COMPLY WITMH THE SThTE D BY THE <br /> CONTMCTOFS LAW 1 P27 RCW AND 296.200 WAC. � <br /> �i.i.L_ f�'� ��2 � �ii� <br /> Signaluro ol wncdContrnctodAuthorizod A�cnt Dalo <br />