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FEB-3-2006 11:32 FROM:PERMIT 4257756315 1-0:14252578857 <br />P.1 <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 982C" <br />425.257-8810 — FAX 425-257-8857 <br />SITE ADDRESS PARCEL TAX I.D. R PERMIT a <br />l Vol 7�i� �f� 10(0V72-3WO02jVOO <br />LEGAL] LOT NO. BLOCK TRACT <br />ncoe <br />GUilllatA �� <<{o/ 7 rive ui�s� 9�aa3 4zr35-3 zF-"L/ <br />TENANT NAME CONTACT FOR PERMIT PHONE <br />,jalk -e, 4( 112dam 8 y57 <br />CONTR CTOR ADDRESS ZIP CONTR. LICENSE N <br />uw4sN'zjw.rnl9 4" <br />PHD2, o z- L 2-� W% 4�(1 ke � 4) Erfi1Jy/,�Ff971C& <br />PROPOSED USE OF BUILDING <br />(� <br />Building <br />�S <br />Machanloal <br />DDD A111"on <br />HEAT SOURCE <br />PERMIT [j <br />Combination <br />FLKJ <br />bing <br />WORK <br />NIereOon <br />DG83 c <br />Sim <br />TYPE B <br />Demolition <br />Sign <br />Sign <br />TYPE <br />New <br />Gaa <br />Sprinkler <br />epalr,Malnt. <br />Other <br />CONTRACT PRICE OF WORK —70A <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 1105 <br />WORK DESCRIPTION Q�'/ <br />6r if c��- � 2v�Ra:K <br />PLUMBING <br />NO, TYPE OF FIXTURE OR ITEM <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />_ <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICEIBAR/MOP/ETC.) <br />OTHER <br />Z <br />A/C —A/HANDLINGUNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <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 GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTR CTORS lA 77 RCW AND 296 20 <br />$ ab re of uwrior/GontractooA,r,rized AgenP —681e <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />