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APR-01-02 nON 10:46 AM RETT PERMIT SERVICES FAX N0. 4 257 8857 P. 02/03 <br /> — ...—. —..--•---�-�---�-- —•—� <br /> � PERMIT APPLIGATION <br /> G./..��. CITY OF EVERETT pERIl�IT SERVICES <br /> C.�""' 3200 CEDAA STREET, EVERETT,WA 98201 <br /> 425-257•8810–FAX 425•257-8857 <br /> ` — �{�/ do/ o0 <br /> SITE ADDRESS PAqCELTAX I.D. ' PERMIT+r <br /> �`� a Euere - o � yo S �� �-�=/ <br /> LEG. ^OT�O. � 9LOCK` 7RACT <br /> DESC. d �'?� h <br /> �I a Or�t Q �U 1 � <br /> OWNER ��-y� ADpRE53 AP PMOHE <br /> O �iUSL ' C! o� - _pgSl <br /> TENANTN M11H p ��� CONTACTNAME pHONE <br /> �7 y(J C.6i(� <br /> _. . �,'���S �:,�, ;�a �,,�-U�S�— <br /> f.ON�AqQTOR AODRESS aP CONTR.UCENSEI <br /> (��95 I-;�ihi�;n9 ��nttr+�c� rwf.S;ynS �l'�IS�4�h�i-Nb �3 CXxJ�(�S�.IY131►Bt <br /> PHON <br /> �0—�13 S—�_�_� <br /> PROP09CD USE OF BIlIL01N4 I"1 Ouildi�9 �Mcch80ka1 Addilion HE4T SOURCE <br /> �pr�,�� PEHMIT !_� Combina6on PlulltAing WORN jR..jAllemtqrt [� Elsclrq <br /> TYpE �_l Dert�01ili0n Sir�ll TYPE J�j New �] Oas <br /> �`�P�`��'�-- u Sprinkler LJ qapai�/M�inL (J Ou�or <br /> CONTpAC7 PFICC OF WORK �I^Y��- CITY OF EVBAETT LOCAL 94LflS TAX COpE 13 3105 <br /> U,J <br /> WORK OE6CRIPiION — <br /> —�Y��t.11t�-ti Jr� C3� Q�Ct'��Cc ��'1GC� p1 ���IrKa . <br /> rtoi-�,\ �b ��,�. �3a � F�- �i <br /> PLUMBING MHCHANICAL <br /> NO. TYPE OP FlX'fURE OR REM N0. iYPE OR FIXTUqE OR ITEM <br /> � WATEIiCLOSET � A/C-AIHqNDLINQUNITS <br /> _ dATNTU[3 � FORCED AIR SY&TEMS <br /> _ LAVATORY(WASH Bq51N) ,_,_ HEAT PUMP <br /> ^ SttOWEH �y/�l ___, UNIT NEATERS �j <br /> __ KITCHEN 31NK 6 DISPOSAL •�l�� ` CLOTHES�RYER d <br /> __ DISHWqSHEti / ^ RqNOHH000 f� a <br /> ._ LAUNDRV 1 MY C ITY 0 F EV E R ETT VVA7�p HEqTER n ��J <br /> _ CLOiHESWASMER q��,,.- . � � ^ oFR �� MEf'ALFIREPL4CElSiOVE � � <br /> ,_,_ URINAI ) ,_ FIREPLACE I��SERT A / � J <br /> __ CAiNKINQ FOUNTAIN ' J / � OAS FIREPI-r,_ G, ' <br /> _ FLpOR DRAW ` I� � � ,4 pqS RANGE <br /> _. BAGICFLUW PREVENTER � qAS pIPING <br /> _._ SINK(StFlVICE/BqRrMOP/ETCJ „ EXHAUST FAN 1 <br /> �= OTHER — -^ � <br /> — — ...,_ O7NER <br /> �1 =_.._.__� ^ �� <br /> I HERLHY CERITIFY hIAT I HAVE RFAO AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO 0E TR7E AMD CORRECT. ALL <br /> PFOVISIONS Of•LqWS A�U ORIOIIJACES GOVCRNING Tf{IS TYPE OF WORK WILL BE COMPLIED WITH WHE711EF SPECIFIEO HERElN OA <br /> NOT. Tli[GR,4NTING OF A PERAtIT D(1E5 NOT PRESUME 70 GIVE AVTHORITY TO VIOlA7E OR CANCEL TF�E P"r70VIS10N OF ANY OTFIER <br /> STATE UR LOCAI,L4W fiEGUU1TIVG CONSTFUCT(ON Op 7fiE PEFiFORh1ANCE OF CONSiRUCT10K. Tryq i'�AfA AUTHORIZED BY THE <br /> OWNER OF THIS PqOPeRTY TO PERFORM THE WORK FOR�NiICH APPUCqTION IS MADE AND I COidHLY WIiH THE STATE <br /> CON�PACTORS LALY 10.2i RCW AND z96.2p0 WAC. <br /> I�n�. � c � �a <br /> O 1e/CpplfaCtOr U iaqiB A 1 Ate <br /> ---..-_.._..__._. _„ i <br /> t <br />