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JAN-02-02 11:33 FRON-NORTHMEST-�I��IWIR 206-314-0834 �- T-OSQ P.OI/�] F-U3 <br /> PERIVIIT APPLICATICJN <br /> CITY OF EVERETT P�RMIT SERVICES <br /> :t200 CEDAA STREET, EVERETT, WA 98201, 425•257-8810 <br /> SI7E ADDqESS PARCEL TAX I.D,M PERMIT M <br /> � b31 /I, K<, � � ooy7Pbs52 ci � � � 20 —(-�7� <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADpRESS PHONE <br /> I y� t <br /> � e .,�n.�. �> r�0ar ' 1631 6w1�<i A�c � rL - r7s� <br /> TENANTNAME I CONTACTNAME �„� PHONE <br /> NIA ('a.�s�itv `�..�� � �er Z } E- 66FB <br /> CONTRACTOR AODqE6S <br /> c,1 [ S c,� 2 pvo -Yl.o�-.,dy k-+ ,Qv� CONTR. UCCNSEI <br /> aHONe aoo - �t �. - �l ? up vArfFIEfSSy'cJ <br /> r< ,N-4 f P� s s ; <br /> PROPOSED U5E OR OUILDINO 8ulldlny Meehanical � Aeai�ion HEAT SOURCE <br /> PERMIT Combination Plumbing WORK �jniteorion EixYric <br /> S'�R TYPE Demotition � Sign TYPe j B Naw � py <br /> Sprinkler j RapaiuMaim. Ou�e <br /> CONTRACT�+RICE OF WORK S V c9 CRY Of EveRErT LOCAL SAL[S TAX CODE IS�10.5 <br /> WORK DESCRIPTION 1 <br /> � Nl/•tr hOY��• <br /> �.`n�a�1 C. Ow� ' C� 9 5d' ��� <br /> PLUMBINO <br /> NO. TYPE O�►I7fTUR[Oq REM NO. TYP!OF FlXTURE OR R!M <br /> _ WATERCLOSEf _ A/C-AIHANDLINOUNITS <br /> ._ BA7HTUB _ FORCED AIP.SYSTEMS <br /> � IAVATORY(WA6H BASIN) ` HEAT PUMP <br /> _ SHOWER _ UNIT HEATEfiS <br /> _ KITCHEN 91NK 8 DISPCSAL _ CLOTMES DRYER <br /> _ DISHWASNER RANGE MOOD <br /> _ LAUNDRY TRAY � WATER HEATER <br /> _ CLOTHES WASHER , METAI.FIREPLACE/STOVE <br /> _ URINAL _ FIREPLACE INSERT <br /> ^ DFiINKINO FO�NTAIN _ �,AS FIREPLACE <br /> _ FLOOR DRAIN � GAS RANGE <br /> _ BACKFLOW PRE4ENIEP. _ GAS PIPING <br /> _ SINK(3ERVICElBAR/MOp/ETC.) _ FJ(F{AUST FhN <br /> _ OTHER _ � OTHER___ i <br /> , � <br /> I HEFEBV CERITIFV THAT I MnVE READ AND EXAMINED TMI6 APPLICATION AND KNOW 7HE S4M@ TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF UWS AND ORIDINACES GOVERNIN6 THIS TYPE OF WORK WILL BE COMPLIED WITH WHETMER SPECIFIED NEREIN OR <br /> NO7. THE ORANTNO OF A PfiRN,1T DOES NOT PRESUME TO QIVE:AUT}10RITY TO VIOUTE OR CANCEI,TME PFOVISION OF ANY OTHEF <br /> S7ATE OF LOCAL'AW RE6UUTINO CONSTRUC710N OP THE PEfiFORMANCE OF CONSTRUCTION. TMAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO F'EHFORM TME WORK FJF WNICk1 APPLICATON IS MADE AND I COMPLV WITH THE BTATE <br /> CONTRAC70FS UW 18.27 RCW nN0 296.200 WAC. <br /> -�� _. r.^-L - PL <br /> SI ro ol wner/ ontraccor/Authoh M ;,� <br />� <br />