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SEP-29-2005 11:18 FROM:PERMIT 4257756315 TO:1425257BB57 P.2 <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 />SITE ADDRESS <br />--7 /�'` 1'>L ft <br />PA CEL TAX I.D. K <br />0103 -2-0 <br />PERJAIT <br />a <br />0 50 <br />1-73 1 <br />Z Yoo go <br />-cW <br />LEGAII LOT NO. <br />BLOCK <br />TRACT <br />DESC. <br />OWNER ADDRESS ZIP PHONE L'— <br />Sh lr IA-Tl vOr.(o''v' 17-3I 7 y�tJ`/JE 9Fz03 3f3 YsZ <br />TENANT NAME I CONTACT FOR PERMIT PHONE <br />C=jrOR (n`nl ADDRESS ZIP CONTR. LICENSER <br />I ,�, G�J"tr✓yi�f9�AiSgg <br />PHONE ��eTa'{j' � <br />.7� 7� <br />�-BL v. �9y <br />Zf-MachanIc <br />PROPOSED USE OF BUILDING <br />PERMIT <br />n Ding el <br />ratlon <br />WORKTYPE 01dew <br />NE <br />OUPCE <br />TYPE),-j <br />Demolitionrati <br />t_J Slgn <br />L,j <br />�+ T V <br />LLJJj <br />Iepalr/Mainl. <br />LJ O hetic <br />CONTRACT PRICE OF WORK L( p Sf <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTION r <br />will oaf -rE61,a* P <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />A/C — AIHANDLING UNITS <br />_ <br />_ <br />BATHTUB <br />Z <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />LAVATORY (WASH BASIN) <br />_ <br />SHOWER <br />UNIT HEATERS <br />_ <br />KITCHEN SINK 6 DISPOSAL <br />CLOTHES DRYER <br />DISHWASHER <br />RANGE HOOD <br />_ <br />LAUNDRY TRAY <br />WATER HEATER <br />_ <br />CLOTHES WASHER <br />METAL FIREPLACE/STOVE <br />_ <br />URINAL <br />FIREPLACE INSERT <br />_ <br />DRINKING FOUNTAIN <br />GAS FIREPLACE <br />_ <br />FLOOR DRAIN <br />GAS RANGE <br />_ <br />BACKFLOW PREVENTER <br />GAS PIPING <br />_ <br />SINK (SERVICE/BARIMOPIETC.) <br />EXHAUST FAN <br />_ <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 GRAfr NG 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 I COMPLY WITH THE STATE <br />CONTP CT�4 27 RCW AND 206.20� <br />I— <br />SI§631LIre of Owner Contractor/A,��Prized Agent Date <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />