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NAY-LJ-UL IHU UJ�Uu ru cvcnc�� ���ti��� ��••.•""_ ... <br /> � � PERMIT APPLIC TION ` ` <br /> � CITY OF EVERETT PERMIT SERVICES � <br /> 3200 CEDAR STREET, EVERETT, WA 96201 <br /> � �9 5•257-8810-FAX 425-257-896� <br /> Karme� /C�III �,t,��rt vQp <br /> I SRE ADDRE53 PAIICEI 7A%I.D./ � p �T p <br /> c:��y fl��x�T � �. . � �d_�_ <br /> I LEOA t,OT NO. BLOCK TMCT ( <br /> i OESC. <br /> OWNlR AO 11 S9 0 (4ts 4B�'�'`-Z» <br /> I <br /> �tZ�A �2��X¢nE � i�00 /HY�' f�✓t /`�t LJOODn�VI c � �aA -r/807J <br /> TFNANTNAME CONTACTNAM6 PMONE <br /> 7�n uws�,�y l'�c�,��_ S�c,t,z M�tvt-� _.��.41 N��--sz.o� <br /> CONTqACTOR ADORESS <br /> SI(3L2R �`�7x.�x'-TW I�ILYJ i44 Avt/`�t. �,Jpp�..ivit.lr �P CGNTq.LICENSE� <br /> � SfiUJ2 <br /> VHONE <br /> N i -SZOC� <br /> , <br /> PROPOSEO USE OF gUILdNa B��ildi�g (� MYCheMql iWdltirn MEAT 30UPCE <br /> ��� PERMR Gombinatbn [7 Pl�mbiny WO�K �Nlsraibn �Etactrlc <br /> ll$�i TYFE Oefiolition I7 Sign TVpE Now pas <br /> SprinkNr qpeid�Aain�. OII»r <br /> GONTpq�T PRIC�01 WORK �oo ab CITY OR EVERETT LOCAl.3ALE!TAX COOE W 3f06 <br /> WOqK DESCRIPTION � �j <br /> /�vD /Jvw Z s�o T' 7Z�vq.+i l�'1 PK-ov�,tiro-rlr �-J Sw /�/o�. <br /> II 7V✓HDt-�Yl (.x�SnN <br /> y �c�,*socr�ns .b2 Nw nl o vt. <br /> � AvD nb�,� <br /> i sac. oFFyu- �r/cJ F/ontr <br /> PLUMBING E HANICpL <br /> � NO. TV7E OF C!%TVRE ON R[M NO. TYPI Of FlXTUp!OR REM <br /> � � WATERClOSET ` AIC-AMAND�INGUNITS <br /> � _ BATHTUB _� FORCED AIR SVSTEM$ <br /> _ LAVATORY(WASH BASIN) „ HEAT PUMP <br /> � SHOWER ^ UNITHEATERS <br /> ` KITCHEN SINK 8 DISPOSAL � CLOTHE9 DFVER <br /> I � D:SHWASHER „ RANOE HO00 <br /> �. L4UNDRY TRAY _.._, WATER HEATER <br /> . _ CLOTHES WASHER � ME7ALfIREPIACE/STOVE <br /> � ^ URINAL _ FIREPL.ACE INSERT <br /> ,r ORINKIN6 FOUMAIN � � 4AS FIREPLACE <br /> _ fL00R DRAIN .4 GA9 RANQE <br /> _ BACKFLOW PREVENTER � OA9 PIPING <br /> � SINK(SERVICE/BAFVMOP/ETC.) � EXHqUST FAN <br /> � OTHER — . , OTHER � f�j <br /> _ V' r7 <br /> I HERF9Y CEFITIFV TMqT I HAVE READ AND E%AMINED THIS APPLICATION AND KNOW TM8 SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISiCNS OF LAWS AND ORIDINACES OOVERNING THIS NF!OF WOqK WIIL BE COMPLIED WITH WHETIIER SPEqFiE9 HEREIN OR <br /> NOT. TME GRANTINp OF q pFRM1T OOES NOT PRESUME TO OIVB AVTHORIiV TO VIOUTE OR CANCEL TNE PROVISION Of ANY OTNER <br /> � STATE OR LOCA�LAW REGUl�1TIN0 CONSTRUCTION OR TME PERFOqMANCE Of CON9TRUCTION. 7HAT 1 AM AUTFpRIZEO SV THE <br /> CWNER OF 7HIS PFOPERTY TO PERFORM THE WORK fOR WNICM APPLICATION IS MACE AN01 COMPLY WITH TME STATE <br /> CONTfiACTORS W W 1E.2 RGV I AND 296200 WqC, <br /> /J/29/� <br /> Styn r wa (,onlra oV 1 onzed Agen��"---7� <br /> � <br />