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14)U-16-2005 11:23 FROH:PERIIIT <br />4257756315 '0:14252578657 P.1 <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT. WA 95201 <br />425-257-8810 — FAX 425-257-8857 <br />SITE ADDRE69/v 93n ,SYJE 00toq TAXI.D. II O/O0O0 PERMRI - <br />IF LOTNNOO. BLOCK TRACT OQJ <br />DESC <br />OWNER S LP PHONE <br />!M(4-z,' LUc4-r 9j(v v IVjza V7j-3/(a <br />TENANT NAME CONTACT FOR PERMIT vn' = <br />X-6,1121-je- 1 kndcc- yLr 777 rNss 7 <br />C <br />ADDRESS ZIPCONTR. LICENSER <br />a3gypTlww3tf &�i ,oYIL30f7i44 <br />PHONEP-e (& z8 z 7&0rWORK <br />PROPOSED USE OF BUILDING Bu9'Inp MechanloeAdmtlon NEAT SOURCE <br />P[RMR P <br />Combinalbn Plumbing AIk29on EYtMeTYPE DemoNDan Sign Now <br />�Gm <br />Lf Sprinkler RepawmainI. IIL) other <br />CONTRACT PRICE OF WORK 1 9 �� I CITY OF EVERETT LOCAL SALES TAX CGDE re nus <br />WORK DESCRIPTION <br />JVJ s-iu I I I v)y -brq aa1+ <br />NO. I TYPE OF FIXTURE OR REM <br />_ WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />_ SHOWER <br />_ KITCHEN SINK d DISPOSAL <br />_ DISHWASHER <br />_ LAUNDRYTRAY <br />_ CLOTHES WASHER <br />_ URINAL <br />_ DRINKING FOUNTAIN <br />_ Ft OOR DRAIN <br />_ BACKFLOW PREVENTER <br />SINK (SERVICEIBARIMOPIETC.) <br />OTHER <br />f larpomfo <br />je4F1311xo3(volio 3-12rn <br />NO. I TYPE OF FIXTURE OR REM <br />;VC-A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />_ UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />_ WA.TER HEATER <br />_ METAL FIREPLACEISTOVE <br />_ FIREPLACE INSERT <br />GAS FIREPLACE <br />_^ GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OWNER- <br />-I <br />HEREBY CERITIFY THAT 1 HAVE READ AND EXAMINED TNIS AppUCAT10N AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND OmDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE OTHER <br />STATE O LOCAL <br />LAW REGULANG OF A TING CONSTRUCTION OR THE IT DOES NOT PRESUME TO ER PERFORMANCE F CONSTRUCT OAUTHORfry To VIOLATE OR IN CANCEL <br />I AM AUTHOROEDE PROVISION OF �THE <br />OWNER OF THI : PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CO CTORS , A .21 RCW AND 29420 / <br />5 ere :Ie�n r 4dAgen - eie <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />