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JAN-20-04 TUE 11 :22 AM EVERETT PERMIT SERVIUES rriA NU. 4D c;)I ooui , - �y <br /> - - --- ' � <br /> • <br /> 0 3/26O PERMIT APPLICATION <br /> F . CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810- FAX 425-257-8857 ) o/- <br /> O,g <br /> SITE ADDRESS P•RCEL TAX I.D.# ef?®r P Mau <br /> ; f5------ag2gi Rtx-ieril- R. eir 90 / ao 7 00 . LI Pi -0.‘3Z <br /> • <br /> LEGAL}, LOT NO. -BLOCK TRACT <br /> DESC . v / <br /> OWNER ADDRESS ZIP PHONE <br /> 64STw, NI TANt:)H .F.:.rt. 3114 LoBRD 93241 425 251 503 <br /> • TENANT NAME I CONTACT FOR PERMIT PHONE -" <br /> P'°e, Ck4MPIo f4 4z6 2-59 313C sS 17 <br /> CONTRACTOR To 611:7 ADDRESS ZIP CONTR.LICENSE t{ <br /> PHONE <br /> PROPOSED USE OF BUILDING Building Q Mechanical Addition HEAT SOURCE <br /> PERMIT Combination ► ) Plumbing WORK Alteration Electric <br /> r'ARTM `r'S TYPE Demolition Sign TYPE New Gas <br /> Sprinkler RepairlMaint.' ) Other <br /> CONTRACT PRICE OF WORK$aa" 000 CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> WORK DESCRIPTION T- <br /> 56 <br /> • <br /> L o 7 Z 9 a-a -713 L=," j ' <br /> PLUMBING MECHANICAL --' <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET(TOILET) _~NC–A/HANDLING UNITS <br /> -_ BATHTUB FORCED AIR SYSTEMS <br /> -- LAVATORY(WASH BASIN) HEAT PUMP <br /> -- SHOWER UNIT HEATERS <br /> __ KITCHEN SINK&DISPOSAL CLOTHES DRYER <br /> __ DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY — WATER HEATER <br /> • CLOT!IES WASHER — METAL FIREPLACE/STOVE <br /> — URINAL FIREPLACE INSERT <br /> —_ DRINKING FOUNTAIN GAS FIREPLACE <br /> __ FLOOR DRAIN GAS RANGE <br /> — BACKFLOW PREVENTER _ GAS PIPING <br /> ___,_ SINK(SGI:VICt:IL3ARIMOPlE'fC.) _ EXHAUST FAN <br /> OTHER__..,. --•,,. OTHER <br /> I HEREBY CFRITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF I.AWS AM)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 I COMPLY WITH THE STATE <br /> CONTRACTORS L A 10.27 RC AND 296.200 WAC. <br /> Sig Moro of Owner 'ontraclor/Authorizes Agent Dato <br /> DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />