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FEB-15-02 IT:25 FRON-NORTHNEST-f�'SIMAR 206-311-083d � T-368 P 01/01' F-O65 <br /> PERMIT APPLICATIO�V <br /> CITY OF EVERETT PERMIT SERVICES <br /> 32U0 CEDAR BTREET, EVERETT, WA 98201, 425-257-8810 <br /> SITE ADDAESS pARCEL 7AX I.D.A PERtdll't <br /> �( ��a�t2�.- � D b��'3 $�O b �v �oo ,m a���oz7 <br /> lEOAL LOT NO. eLOCK TRACT <br /> DESC. I <br /> OWNER I ADORES� � p^p� �'� <br /> I�IJ���e�r✓1 ��11� � Su�. Q„ <br /> � TENANT NAME CONTACT NAME � PIIONE <br /> c�AN��c� ��tc,� � 2�'6 3'�g (P(o <br /> CONTRACTOR ��S � �.� � ADORESS CONTp,LICENSBI <br /> �-8?!D '7�lL�uA�KE fIN? ll.j <br /> �oN�aU� ,� �a v��� ! �d�ka• wN �F� � �wf1'S�tE;SaqoGu.1 <br /> PROPOSED UBE OF BUILOIUO Bulldinp chrnicai ndd'Aion MlAT SOURCE <br /> PERMIT RCom6lneUon lumbing WORK B �itenuon E1�pdc <br /> TYPfi B Damolltion Slyn TYFE _�„j Now �6 <br /> SpdnWer �{-AapalnMeint. Ome� <br /> CONTRACT PAICC OF WOR1C �� .dD CT'OR EVEHEIT LOCAL$ALflS TAX CODE IB J10b <br /> WORK DESCRIPTION �� <br /> , ,�;� �� ti� <br /> a INECHANICAL <br /> k0. TYP6 OP Fl)(TUqE p q REM N0. TVPF OF f'1(TURB OR rtEM <br /> _ WATER CLOSET ,__ A/C-/VHANDLIN(3 UNITS <br /> r BAfMTUB _ FORGED AIR SYSTEMS <br /> � LAVATORY(WASH BR,SIN) _ HEAT PUMP <br /> ` SHOWER �, UNIT HEATER3 <br /> _ KITCHEN S�NK 6 DISF'OSAL _ CLOTHES DRYER <br /> , DI9HWASHER , RANGE HOOD <br /> _ LAUNDRY TqAY WATER HEATER <br /> ._ CLOTHES WASHER � METAL FIREPLACE/STOVE <br /> _ URINAL __ FIREPLACE INSERT <br /> , DRINKING FOUNTAIN _ GAS FIREpLACE <br /> ` fL00R DRAIN _ OAS RANOE <br /> _ pACKFLOW PREVEMCER _ GAS PIF�INCi <br /> _ SINK(SERVICE/BAR/IAOP/ETC.) _ EXMAUS`FAN <br /> _ OTHER _ _ QTHER <br /> I M6REBY CERITIFV TMAT I M,�/�11HAD ANO DUM�NED THIS APPLICATION AWD KNOW TME SAME TC SE TRUi AND CORRECT. ALl <br /> �ROVISIONS OF LAWS AND ORIDINACES GOVCRNIN6 T�'IS iVPE OR WORK WIIL eC COMPLIED WITH WkET}�ER SPECIRIlD MEREIN OR <br /> NOT. TME ONANTiNO 0�A PEHMIT DOES NOT PRESUMt TO OIVE AUTHORITY TO VIOUTE OA CANCEL THE PROVISION OF ANY nTMER <br /> STAT!OR LOCAL UW REdULA71N6 CON(iTRUCTION OR TNE PERFORMANCE OF CONSTRUCTION TMAT I AM AUTHORRBD SV THE <br /> OWNHR OF TH19 PFOPERTV TO PERRORM 7HE WORK fOR WMICH APPLICA'lON IS MADE AND I CUMpLV WITH TME STATE <br /> CONTRACL :7 RC�N AND 2 WAC. <br /> % j <br /> =! ��S L � <br /> � aud � crt:ea nQe�� —be�e <br />