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JUL-22-02 110N 01.55 Atl I FAX NO. 1007332849 P. 01 } <br /> (47T PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 f <br /> 425.257 8810-FAX 425.257.8857 a 07 -OOS , <br /> sae ADDRESS <br /> I PARCEL TAX I.D.I EMIT I <br /> I .1 Cot.gH n IL v4, b01.04,- O;.L <br /> LECIALI. LOT NO. BLOCK TRACT <br /> DESC I I ZIP PHONE <br /> OWNER ADDRESS <br /> 'RDVIDi.hIGG. £i44Cf TT m4RIC*c. GrNTsif- I-NZ1 401-84 AUG- £Ucc..clr ' 2C r <br /> TENANT NAME CONTACT NAME PHONE <br /> 3100'73•{-36110 <br /> Sri 61i.- er6 ,✓13i'0 i- YrM/G1Y (GNsrMYT- <br /> CONTRACTOR ADDRESS ZIP CONTR.LICENSE <br /> i"rAcND a Copied r:vr.7Va5 WV, M1iPG2T Derv:.- 41$224 DIgMGi3C 06b kA <br /> PHONE A4.u-raC.ifwvw/ wA <br /> 3Go -7311•1)1iOo , <br /> Budd' Mechanical A02I HEAT SOURCE <br /> PROPOSED USE OF BUILDING Building <br /> PERMIT Combination Plumbing WORK Allrralbn � Oos�� <br /> TYPE Demolition Sign TYPE Now <br /> Sprinkler Repa+IMe,nt. Other <br /> CONTRACT PRICE OF WORKS 3S,000 I CITY OF EVERETT LOCAL SALES TAX COOL:IS M105 <br /> WORK DESCRIPTION <br /> g.1 • EOuTi. DiaiN Lr.J L roe. Ic?vel_ 8vm-P 0117 OC TNG 3 e. w,Ni,. w4- WILL pE <br /> upDmip.l(. 'Mt P:'+CvH'r• WFKN Th t. 3c .v/A,A p,COTt'T sane-Ps, <br /> PLUMBING MECHANICAL <br /> No. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> _ WATER CLOSET A/C-Ah1ANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> _ LAVATCRY(WASH BASIN) _. HEAT PUMP <br /> SHOWER _ UNIT HEATERS <br /> KITCHEN SINK&DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY _ WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> _ URINAL FIREPLACE INSERT <br /> _ DRINK'NG FOUNTAIN _ GAS FIREPLACE <br /> FLOOR DRAIN — GAS RANGE <br /> _ BACKFLOW PREVENTER _ GAS PIPING <br /> SINK(SERVICE/BARIMOP/ETC.) EXHAUST FAN <br /> OTHER ?t •BPors. n,'ell A) L,•vt3 - OTHER <br /> I HEREBY CCRIT.FY THAT I HAVE READ AND EXAMINED THIS/IPPUCATICN AND KNOW THE SAME TO BE TRUE ANO CORRECT, ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NY OTHER <br /> STTOT. THEATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE ER O MRANTING OF A PERMIT DOES NOT PRESUME TO GIVEOARNCE OF CONSTTORUE CTIONRUCTION. THAOR CANCEL T I AM AUTHOR E PROVISION OF OABY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPUCATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 19 27 RCW AND 206.200 WAC <br /> Signature or onvacWUAutnon2ao Agent Date <br />