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SEP-8-2005 08:40 FROM:PERMIT 4257756315 70:14252578857 P.1 <br /> q --'-j'-a-05 <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 PARCEL TAX I.D.0 a <br /> * Z5-(-)q � ( JE po (P 9 /(CJocby Loo / � iZyJ/, <br /> LEGAL LOT NO. BLO K TRACT <br /> DESO. <br /> WNER ADDRESS ZIP PHONE <br /> (-u.c-a- �rn'1 q 2 ry 9 Fp ^'h( ✓c f�/Qrl 2 a 3 _ kyr 3YG 3 ?S2 <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> fQ 41-<- I 1-112 dq- yis 7 zo ?2-,OOd' <br /> CONT CTOR ZIP CONTR.LICENSE a <br /> wI`$sN ���y �iw ADDRESS C�fi1Jyi�.l9�i� <br /> PH2� O'Llprf'J 77 1 kt 4vt <br /> PROPOSED USE OF BUILDING I Building Mechanical Addlllen HEAT SOURCE <br /> PERMIT R Comolltion lumbing WORK B AlUrallon �Gai <br /> Eledric <br /> TYPE B DemoNtion L Sign TYPE B New Gae <br /> Sprinkler Repe!riLLint. Other <br /> CONTRACT PRICE OF WORK -� r CITY OF EVERETT LOCAL SALES TAX CODE IS 5105 <br /> WORK DESCRIPTION <br /> Raj <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> _ WATER CLOSET(TOILET) A/C—AIHANDLING UNITS <br /> _ BATHTUB FORCED AIR SYSTEMS <br /> _ LAVATORY(WASH BASIN) IIEAT PUMP <br /> _ SHOWER N UNIT HEATERS <br /> _ KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> _ DISHWASHER RANGE HOOD <br /> _ LAUNDRY TRAY WATER HEATER <br /> _ CLOTHES WASHER METAL FIREPLACEISTOVE <br /> _ URINAL FIREPLACE INSERT <br /> _ DRINKING FOUNTAIN GAS FIREPLACE <br /> _ FLOOR DRAIN GAS RANGE <br /> _ BACKFLOW PREVENTER GAS PIPING <br /> _ SINK(SERVICE/BAR/MOP/ETC.) _ EXHAUST FAN <br /> OTHtR OTHER--- <br /> I <br /> THER__I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS Or LAWS AND ORIDINACES GOVERNING THIS TYPE Or 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 THEWORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONT CTORS LA 27 RCW AND 290.2 <br /> 4 7 <br /> I are of UmerlContractorlArnzaagent Uale <br /> DEBIT& CREDIT CARDS ARE NOT ACCEPTED <br />