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JqN-F3-2006 09:47 FROM:PERMIT 4257756315 70:14252578857 P.1 <br /> ( <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 PERMIT 0 <br /> 25 - '" plsE 0,f) 20'9 0,040 /OU <br /> LEGALOT NO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS ZIP PHONE <br /> bre q 'Te r!21 -aS q 3o'-p (J f Ev-w#-gdpza3 �5-3 3q7 3a5-,;F <br /> TENANT NAa CONTACT FOR PERMIT PHONE <br /> ,& -e. 1 1 ,112d-E- yzs 275- 8y57 <br /> CONTR CTOR ! ADDRESS ZIP CONTR.LICENSE d <br /> wq( ���r�t� �� y��Ir�1CQJ �J 6-1 �J,11,FW71Ing <br /> PHON�IE� dip w k'e /Y2!{`��A/G y <br /> PROPOSED USE OF BUILDING BUltding (Mechanical I Addition I HEAT SOURCE <br /> S _ , PERMIT Demolition B Plumbing WORK Alteration Gaecuic <br /> s TYPE Demolition Sign TYPE New Gas <br /> Sprinkler Repair/MaIN Other <br /> CONTRACT PRICE OF WORK C� Q CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> WORK DESCRIPTION <br /> C�t►"-r �=v r Ina.ce ?�P lace h2a � <br /> PLUMBING MECHANICAL <br /> NO, TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> _ WATER CLOSET(TOILET) A1C—AIHANDLING UNITS <br /> _ BATHTUB FORCED AIR SYSTEMS <br /> _ LAVATORY(WASH BASIN) HEAT PUMP <br /> _ SHOWER UNIT HEATERS <br /> _ KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> _ DISHWASHER RANGE HOOD <br /> _ LAUNDRY TRAY WATER HEATER <br /> _ CLOTHES WASHER METAL FIREPLACUSTOVE <br /> _ URINAL FIREPLACE INSERT <br /> _ DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> _ SINK(SERVIL;EIBAWMOP/ETC.) EXHAUST FAN <br /> OTHER _ OTHER <br /> I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAFE 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 VIULAI E Ufi 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 /> CONTR CTORS LA 27 RCW AND 296 2000 / <br /> Si nli re of Owner/Contractor/Afrazed Agent Det <br /> DEBIT 6 CREDIT CARDS ARE NOT ACCEPTED <br />