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i <br /> 10/07/2002 15:47 36094 2091 NWF�EFUIIT PAGE B2 <br /> �ERMIT APPLICATION <br /> � CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVER�TT, WA 98201 <br /> 425-257-8810—FAX 425-257-8857 <br /> I <br /> SITE ADDRE93 PAHCEL TAX I.D.I veaMrt. � <br /> CA AI,�F RtJ1ASfi C�OSq z moa���orc� <br /> �eon �or no. s�ocK rnnct <br /> DE9C. <br /> OWNEN �CWtEfB aP N <br /> ' T�H �Rciu�cu� 2�oq Cpu�rz�i �t �t q82o� y25 2s94599 <br /> TlNRNT NAME I CONTI�CT N1ME PHON[ <br /> CONTqACT011 1. I�� —_ Ao��� �� A�E 981�9 CONTR.UCENiE/ <br /> PHON! rv � � 99 W RSf#I�S�� <br /> ?.L� 31 !o <br /> i110P0lRDU8EOflUIIaNG Bulldlnp �pjMachenkal ndAieon ��7SOURC! <br /> PERMI7 R{.{ Combinefbn"n Plumbing woRK Aroohtbn [��bcvk <br /> S�R TY►! �..j Demotltlon p 919n TYPe N�w �Oee <br /> U Sprinklar RepeirMhim. OtMr <br /> CONTRACT PqICE OF WORK b50 a0 CI�Y OF EVERER LOCAL 9ALE9 TA%COOE IS 7106 I <br /> W ORK DESCR�PTION i <br /> C�-1S � C�pS w A'TbrtZ�I�TER <br /> GI-i�R NG Eou i ; <br /> PLUMB N :MECHANICAL <br /> NO. TYP[O�fIXTUR!OR REM NO. TYPE OF FlIRURE OR ITEM <br /> _ WATER CLOSET _ NC-A/HANDUNG UNITS <br /> ^ BATHTUB _ FORCED AIR SYSTEMS <br /> ,,.� LAVATONY(WASM BA31N) _ HEAT PUMP <br /> _ SHOWER _ UNIT HEATERS <br /> _ KITCHEN SINK R D�SPOSAL _� CLOTHES DRVER <br /> DISHWA9HER RANGE NOOD <br /> LAUNDRv TRAY � WATER HEATER <br /> CLOTNES WASHER METAL FIREPLpCE'STOVE <br /> _ URINAL _ FIREPLACE INSERt <br /> �RINKIN�FOUNTAIN � OAS FIREPLAf.E <br /> FLOOR DFiAIN _ OAS RANOE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SiNK(SEFVICEieAWMOarE7C.1 _ EXHAUBT FAN <br /> _ OTHER ,� OTHER <br /> I HEREBV CERITIFY TM�T I HAVE READ AND EXAMINED tM18 APPLICATION AND KNOW TNE SAME TO BE TFUE AND CORRECT. ALL <br /> PROVISIOMS OF UW3 AND ORI�IN�CES QOVERNINp THIS TVPE OF WOAK WILL BE COMPUED WfTH WNETNER SPECIFlED HEREIN OR <br /> NOT THE GFANTING Of A PERMIT DOE9 NOT PPESUME TO GIVE AUTHORITV TO VIOUTE OR CANCEL THE PROV1910N OF�NY OTMER <br /> STATE OP�OCAL UW REGUIl+TINO CON97RUC71pN OA'M4�EFFORMANCE OF CONSTRVCTION. 7HpT I 4M AUTHORI2ED BV THE <br /> OWNER OF THIS PROPERN TO PERFONM THE WORK FOR WHICH AP TION 16 MF�E AND I CCMFLY WITM TME STATE � <br /> GON C A6lAW 1e.2 W AhJII0e1a0 WAC. <br /> Sipn urs of er u 0 Ze pent ■� <br />