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AUG-20-02 TUE 09156 AM <br />EVERETT PERMIT SERVICES FAX N0, 425 257 8857 P. 03 <br />f <br />SITE ADDRESS <br />_ 6/0 -"7- , <br />LEGA LOT NO. <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES �OlR <br />3200 CEDAR STREET, EVERETT, WA 98201 J P� <br />425-257-8010 — FAX 425-257-8K <br />BLOCK <br />PARCEL TAX I.D. M <br />29,15Y co I <br />S(t m+c.,1- f b <br />PE.! /T�GIJCJ <br />AURES9 / 2 P ONE <br />VO <br />o c SS A 11�.._.0�1e OVAIQN) <br />TENANT NAME CONTACT NAME <br />�� ,kicv- w„�PHONE <br />I rid ��ur,es zob5��b33� <br />R - OORE7 <br />Tip• fir.-�i� C G�<A�,://.:.. <br />PHONE <br />pROpUS <br />WI <br />CONTRA <br />ZIP CONTR. LICENSE I <br />EO USE OF BUILDING <br />pE�,Ess LdiM1d1A)I(Ri7 PERMIT <br />f'i�T�IL� TYPE <br />Ct PRICE OF WORK Q CD /1 <br />Building <br />Oombinolion <br />Demolition <br />Sprink er <br />-- <br />MecltaniGaf Atldllbn "EAT <br />R Plumbing WORK Altemlwn NA .� EleClriC <br />S Sign TYPE New Gal <br />Repair/Mamt. Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3505 <br />WORK DESCRIPTION <br />.41tti iof(ALA <br />aN k,V 1Ak ✓✓ otA e�cisi�wa Vo; u S�^I.w h„ DNn0O <br />"Lt� c a1_ a�" <br />NO. <br />PLUMBING <br />TYPE OF FIXTURE OR ITEM N 4- <br />WATi CLOSET <br />LLEf <br />ATAVAATTORRY (WASH BASIN) <br />L <br />SFIOWER <br />KIIEN SINK 8 DISPOSAL <br />DISHS14 WASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />SIN KSErTVFLOW PE/BArV O <br />SINK (SERVICE/BATir _. ETC.) <br />OTIiER_ <br />`_ <br />NO. <br />` <br />— <br />_, <br />__ <br />-- <br />MEC AN(CAL <br />TY PE OF FIXTURE OR ITEM <br />/VC —A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES C.RYER <br />OD HC+ <br />RANGE WATER H=ATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIFEPLACE <br />GAS RANGE <br />GAS PIPING !!� <br />EXHAUST FAN <br />OTHER —.I „ / <br />_ <br />_ <br />_ <br />_ <br />_—_ <br />_ <br />_ <br />...._ <br />i nenen r t LHI I ifY THAT I I IAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE .SAME TO BE TRUE AND CORRECT, ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT THE GRANTINC, OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STA7 E OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM T11E WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACT RS LAW 10.27 RCW 200,200 WAC. U 2f� <br />Signature OwneUCon!ractur/ ut orized '---"t---Z <br />Date <br />