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SITE ADDRESS <br />4330 <br />oesc.113-�4- <br />/k tkx. kA�lE" <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVEC�S <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />I�Ucke.r <br />�►e�utrwu�e uasa� <br />Voi ce,�Sfi'et.m PC'S �1T <br />CONTRACTOR � <br />PHONE �lJ pl � <br />PROPOSED USE OF BUILDINO <br />No BU,�cP�.�o, <br />CONTRACT PRICE OF WORK <br />PARCEL TAX I.D. f <br />51(a CoY'✓Ielia,�nC. , r�.µktltta <br />-v33 <br />PFIONE <br />'Fd�5 -339• 4�►42 <br />CONTACTNAME ZIO'�" 3�'�C �'�- PHONE <br />�G,yr; spenear- �ueret�-u1�- aS�o� . `��'�I-�6S' <br />ADDRESS <br />—�'''"Q <br />( <br />CONiR. LiCENSE t <br />BWldng MecheMcel Mditlon HEAT SOURCE <br />PERMIT B Combinalbn B Plurtibinp WORK AlwrRtlon F�ctrm <br />TYPE D Denqli�lon D Sign TYPE Naw KR(� <br />u Sprinkler RepeM/MeM. V otlix <br />(�()� CITY tf EVERE7T LOGAL SALEB TAX CODE IS 1t06 <br />WORKDESCRIPTION WC� — lns�ueP on-qy�dc.{ C'ahire�s�►' ✓�-,12o Y�snu,� <br />�e �v►�: �o�f e.e� -m re�tac� 29' o�fi-[clr� �,�.,ec. �/5o' cvea� ��e: <br />� C�A-G�- 3�a-ne( G�,fi�Knas. `�/�1.� � 0�3 - D/o <br />NO. I-- TYPE OF FlXTURE Ofl IiEM /"' }1 � <br />WATER CLOSET <br />BATHTUB <br />LAVAi'ORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 3 DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BARIMOP/ETC.) <br />OTHER <br />N0. � TYPE OF FlIITImE OR RFY <br />NC — AMANDLINO UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANOE HOOD <br />WATER HFATER <br />METAL FIREPUCE/STOVE <br />FIREPLACE INSERT <br />(iAS FlREPLACE <br />CiAS RANOE <br />OAS PIPIN(i <br />IXHAUST FAN <br />OTHER <br />I HEREBY CERITFY THAT 1 HAVE READ AND E%AMINED THIS MPLICATION AND KNOW 7HE SAME TO BE TqUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNINO THIS TYPE OF WORK NALL BE COMPl1ED WITH WHETHEp 3pECIFlm HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO ONE AUTTIORITY TO VIOU7E OR CANC0. THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATINa CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. 7W�T I AM AUT}10qIZEp BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APpLiCqTON IS MADE AND 1 COMPLY WITH 7T{E STAiE <br />CONT(Lit;TOHS LAW 1827 RCW ANDR96200 WAC. <br />� <br />'.��� 7C.° `/ <br />