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Srnt By: HP LacerJet 3i00; 425824951r,� Auq�3-0fi 12:40P1.1; Page 3!3 <br /> �P�RMIT APPL�CATIUN � <br /> ��� � CITY OF EVCRETT PERIAIT SERVICES <br /> "=�"'rT 3200 CEDAP, STREET, EVERETT, WA 98201 , 425-257-8810 <br /> asn)oo <br /> -- <br /> 51TE ADORESS PARC.BL TAX I.�.# PERMIT# � <br /> 4G00 C14I:PR Ilk. EVEkPTL AA�A 96�.I07 uu�ll%.IUUUU JUII <br /> . __- <br /> � ;.'> �� ( � <br /> IEGAL LOT NO. � BLOCK TRACT <br /> DE�� -- - ----� -- --- <br /> - -- _ _--__—_ <br /> OWNER IADDRE3S PHONE <br /> r w DAhLr, ul; <br /> h1.VKF.UI' Ii�HN � � ' —_T. �.��5�;5j .1i1i5 —.—� <br /> � 1�.\'I.I<L�I1, N'il 9S:U3 <br /> TENANT NAME � CONTACT NAME PHONE <br /> -��n,��[��.ntitt.i. a�5 6u-;i]� ei:J <br /> CONTRACTOR � AODRESS CONTR.LICENSE#� <br /> r,�st ��,�rt_i< in.nii_i< c���,ti�,wv i:c,oi i?�vu :��c �i. r,�sT�r�tu�a�siu: <br /> ia:���:�4.t�'J F:u<F:LA��u. w:� �,s�i;. p� o? '_006 <br /> ROPOSED USE OF BUILD�NG eui1i1irio M�c�iplG qdditlon ►;FqT SOURCE <br /> PeRM1T Com�lnallon r�umeinp W�RK AltanUon - Ei�dnc <br /> IYPE fl�moliliun f.lpn TYP� N�w as <br /> r R� �idMaln� tnm <br /> CONTRACT PRI.^.E OF WORK g)4�>uU �:�TY 4F EVERETT lOCA1. SA�ES TA!( CUDEIS 7105 <br /> WORK OESCRIPTInN <br /> Hemo.c'Rcplace F.lednc \4'ate� Hea:er <br /> PLUMBING - ----_ —�;QHANICAL . . - --- --� <br /> NO. TVPE OP fIXTURE OR ITEM TYP[ Of F'IXTUHE bR ITFM <br /> ____ WATfR CLOStI ____.__ AlC-A/HANDI!NG UNITS <br /> BATMiuH ____—_ FORCEu AIR SrSTEMS <br /> ____ LAVATORY (WASH BASIN) ___._�_ HEAT PUMP <br /> __� SHOWER �_____ UNIT HEATERS <br /> KITCHEN SINK 6 UI5YUSAL _.__.___ CLOIHE3 DRYER <br /> uI5HWA5HER .�____ RANGE HOOD � <br /> __ _ LAUNORY TRAY ___!__ WA7ER HFATER � <br /> f.1.OTHES WASHER _�___ METAL FIREPl�10El5TUVf <br /> � UR�NAL ______ FIREPLACE INSERT <br /> T GRINKING FOUNTAIN _____ OAS FIREPLACE <br /> � �LOQR ORAIN ____ CAS RANGE <br /> - -- <br /> BACKFLOW PREVENTER __.__ CiAS PIPING <br /> __�_ SINK (SERVICEJBAR/MOP/ETC.) __�__ F%HAUST FAN <br /> - - UfHER ___.__ OTMER_---.---_---_______----- <br /> I HERFtiV CPRTiFv 7��AT I I+AVF RFAD ANO FXAMINEO iMIS AP4�GAT10N an D KNOW TMC SAbtE TO OE TRUE AND CORRECT AtL <br /> PROVISH)NS OF LPWS MIC OHDINANCES GOVERNING THIS TVPF OP WOPK WI�L AE COMPLIED WIMT WMETNER SPECIFIED HEREI <br /> AR NOI. THC GRANIING��F A PCRrAII DOES NGT PRESUME Tn GryE AUTH�)RI1Y 1 O VIULATE UR CANCEL TNF PPAVISION OF ANv <br /> UTHkN STAT[ Oi3 LOCAL L1�W�tf (ll 1;A!W(;C(7NSTRUCTI�IN pR 1HG PFRI ORRWICE OF CONSiqUCT10N. THA�I AMAUTHOF�ZED <br /> HV IMF OWNFR Of THIS�'ROPI:�t1Y IU PFftFORM 1H6 WOHK FO12 WHICIUPPLICATIpN 19 MAf]F ANU ICOMD�Y WITM TMF STA�E <br /> CUNTR�CT7R>I AJV 1A.27 RCW ANU 2dG 7�1D WAC. <br /> tilgnaturo of OwnerlCon_tractorJAuthofixed Aquni �.��. ��, — Date ��,�i� ,;���� � <br /> .��.�, <br />