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AUG-16-02 FRI 11;38 AM EVEkE'If PERMIT S�KVICES FAH N0. 475 2b7 8857 P. 03/04 <br /> _ . .. . ___ <br /> .—._..V.._ -- -�-� VPERMIT APPLICATION <br /> I � CITY OF EVERETT PERMIT SERVICES <br /> . �, <br /> 3200 CCDAR STRFET, EVERETT, WA 98201 � <br /> I 425-257•8910- FAX 425•257-8857 <br /> SI7E ADDR6S5_-�-� ;� � PAFCEL TAX I.D.# � `�RMiT u _ <br /> , 03 i 5 �r r� i�d1. OG - Z-�O � <br /> LEGA LOTNO. BIOCK 7RACT <br /> DESG � � '� <br /> OWNER AODRESS LP PHoNE Zc� $2p� <br /> ��IE� f�'opes���S 1�190C� i44'�`' �ve . 1��, Wo�c�inV,l�e 445072_ <br /> ITENANTNAME CONTACTNAME PNONE <br /> ' c IC� E� E�'�� u,�,S.nC -�u�--��.ra.� �����-�i�r-���� <br /> GONTRAGYOR AODRESS ZIP G9NTA.LICENSEN <br /> dI},P,•� a� a� nco c��3�+ r�r-� �CP ,�pob �� ��,��z <br /> PHONE Seca.��m�e�cc:�ca.QS��n 4��`i Tt�o-�+�s `.�r�'N lv9 <br /> 't'LS-�53-c'�[-.� � <br /> ! PFOpOSED USE OF BUILDING (� �Uilding �MethaniC81 Addition HEAT SOURCE <br /> � PERMIT [� Combination Plum6ing WORK R AltgraCon � Electric <br /> TYPE D Defnolition Sign iVve D New (ias <br /> � U Sprinkler U RepsiNMainl. Other <br /> I CON7RACT 7RICE OF WORK `j�a ( �a. �G'� CITY OF EVERETT LOCAL SALES TAX COOE IS 3105 <br /> aJ <br /> I WOpKDESCRIPTION �4�� "���L� �OfjA.� �,-�fit+E,��J Q+�1 - Ib4i' �cbl1 � �S-�S'��4.��� �6.�11��i <br /> i (v�.pue..ti�� i.v�r�. S:1�LCM� y-.O �ry;c.ld�v� �n�-rnc:R�'� Gc>.,e�. ho�(t��-rc:y..-'avoc��+ , <br /> i o r� S u:- Go���c ��ti r3�7G. R N� t� 2 :�u-C_ .�„d. W�.��:c. > <br /> it�6 se ' Y " Dc 5is,o �,:.+4u, v� �,I wLyu " LcAc.�-io«fltJ�nskers <br /> P IIMBING MECHANIC L <br /> ! NO. 7YPE OF FIXTURE OR ITEM NO. TVPE OF FIX7URE OR ITEM <br /> � WAl'E;i CLOSET A/C-A/HANDUNG UNI7S <br /> . 6ATH�1'LB FCqCE�AIR SYSTEMS <br /> ' LAVATORY(WASH BASIN) HEAT PUMP <br /> . SHCwER UNI7 HEA7ERS <br /> KITCHEN SINK&DISPOSA� CLOTHES DRYER <br /> �� _ DISHWASHER � RANGE HOOD <br /> - _ IAUNDRv TRAY � WATER NEA7ER ' <br /> Cl.O7HES WASHEF7 ME7AL FlREPLACE/STOVE ��� <br /> URINAI_ FlREPLACE INSERT ' <br /> � DRINKING FOUNTAIN � GAS FIREPLACE �' <br /> Fi_OOR DFAIN � GAS RANGE <br /> BA,^.KFLOW PREVENTEfi GAS PIPING <br /> _ S'NK f�Efi`IICE/BAfilMOP!ETC.) ` c'XHAUST FAN . <br /> __ OTHEP OTHER_ _ � � ' <br /> _I _ _-.____.._____ - ;`' �\� ; <br /> �i!EP'�=�3V CE(7RIFY THAT'HAVE R[AD ANO EXAMINED THIS APFUGATiON AND KNOW THE SAME TO 0[TRUE AN ORqEG . ALL '� . <br /> ��O'JISIONS CF lAVIS A�D^Lil01NACCS GOVERNING 7HIS'YPE CF`NORK WIL�EH COMPUED WITN WHETHER SPE fE0 HERCIN OR j <br /> vOT THE GaANTING OF F PERMIT DOC-S NC7 PfiESUME TO GIVE AUTHORIN TG VIOLATE CR CA�CEL THE PROVIC10N OF ANY OTHER � . <br /> 'ATB OR LCCAL LAW F9cGUV�.7MG CONSTRIJCTICN OR TH6 PERFOR6IANCE OF CCNSTRUCTION THA71 AM AUTHORIZEO EY THE <br /> . . .Eq OP 11iIS PqCPERTV TO FKFFORM 7HE WOFK FOR'�I�MCH APPI!C�TION IS MqOE AND I COMPLV WITN THE STATF ' <br /> C:NTPnCTOFS LAW 1927!9CW Ah4 2962CM7 WAC. � . � <br /> �'�� �C'9�� �-/ °/ O Z_ U� , � ; :� <br /> � SignaWre cf OwnoriGonlractor/Auihorized Agent Date � <br /> -�--- �--- — — � �� Z�. l � '�v � <br />