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MRY-9-E'005 10:24 FROM: <br />SITEI �DREI I 3 � <br />_� <br />LEGA LOTNO. <br />DESC. <br />i0:14252578857 P.1 <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />BLOCK I TRACT <br />PARCEL TNf I.D. N <br />� <br />i�Z� F Gv � I SM l Q l 13 T'` .PFTt �.rr� G�dEt y5' �( �(9`1S <br />TEHANT NAME CONTACTFOR PERM17 PMONE <br />sar►� � �C-/nd� yzs 7 zo 32e� <br />cow"Kf� �11�9l� �/l�J(QJ �noaeas <br />PHONE �Z �(�j �� . k`C /T'�c CJ <br />�0 -L<!16 <br />PROPOSED USE OF BUILDIN6 � BUIIdl11g M8Ch8111C81 <br />S�g PERMIT Com6lnatlon �Plumbinp <br />�L TYPE DemollUan Sipn <br />-- SptlnY,ler <br />CONTRACT PRICE OF WORH <br />31, � <br />IIP CONTR. UCENlE / <br />L'tff�`J'f1/t.1YJ7/ QQ <br />Add��an <br />Altororbn <br />Naw <br />ReOaklMalnt <br />HEATSOURCE <br />�El�dne <br />Gaa <br />ONer <br />CITY OF EVEi:ETT LOCAL SALES TA7( CODE IS 7/0! <br />WORKDE9CRIPTION ���. ..� �� f �m4ce �� �� <br />�(n S� 1 � A � r C�n�� -fco� -� � b z•�` �, <br />N0. � TYPE OF FlXNRE OR ITEM <br />_ WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK d DISPOSAL <br />DISNWASHER <br />LAUNDRY T(iAV <br />_ CLOTHES WASHER <br />URINAL <br />DRINI(ING FOUNTAIN <br />FLOOR DRAIN <br />_ &4CKFLOW PREVENTER <br />SINK (SERVICEIBAR/MOPIETC.) <br />OTHER <br />NO.. � TVPE OF FI%TLRE OR REM <br />AI(: — A/f1ANCLIN(3 UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />OAS fIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />I HEREBV CERITIFV TNAT I HAVE REA� AND EllNMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND COFRECT. ALL <br />P�70VISIONS OF U1WS AND OHIDINACES GOVERNING THI9 TYPE OF WORK WILL BE COMPLIE� W ITM WMETMER SPECIFI£D MEREIN OR <br />NOT. THE GHAMING OF A PERMIT DOES NOT PRESUME TO GIVE AUTIiORITV TO VIOUTE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL �AW REGULATING CONSTRUCTION OR THE PERFORMANCE OF rpNSTRUCTiON. THAT I AM AU7HORI2ED BV TME <br />OWNER OF THIS PRU�ER1' TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPIY WITH TME 6TATE <br />CONT CTORS LA ]7 RCW AND 298.Y0� <br />7�� �,.v,�.��/ J S�4 �oS <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />