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JUN-11-03 uED 11�40 Ah EVERETT PERflIT SERVICES FAH N0. 425 257 B857 P, 02 <br /> F��RMIT AP�LICATIO� . <br /> � CITY OF EVERETT �ERMIT SERVICES <br /> J'"' 3200 CEDAR STREET, EVERETT, INA 98201 <br /> 425•257-8810- FAX 425•257-9857 <br /> 51TE ADDRE9S PAqCEL TAX I.O,A PERMti r <br /> - ) ) re Mo3o6- � 1 <br /> 4EGA LOTNO. BLOCK 7HACi <br /> DESL. <br /> QWNEH ��DRESS ZIP PMONH <br />' m ,u� �rifY\. nt � 40 . .(���'��1/ .N � Sa.�il7 .�'n��/.:J �t]C �� <br />� �7�E�NANYNAME CONTACTNAME PNON\E <br /> l:Y!t�A.f+L$ �A-%�fitf� lmm�l �Q�n).�+is-��� <br /> GONTHACTOH �(�e,��n�e AO�RE55 �� �`� l��Uj�/N£ 21P9�IZSONTR.UCENSE M � <br /> " � I r f, /j -7f7 <br /> PMONE��p)J`PO "v�Y / S��IQ.I LUG� � �IU'�lL��l9/1�I <br /> PROPOSED USE OF BUil01NG 8uilding 7� Mechanical AdaiUon HEAT SOUqCE I' <br /> PERMIT R{.-1 Comb�nolion �_�Plumbing WOPK RI..( Al1o�alion Electtrc i, <br /> TYPE u Demalition LJ Sign TYPE ��ew I �Ges �, <br /> LJ Spnnkler RepatrlMa�nt. Omar <br /> CON7pACT PNICG Of WOpK `� -' CITY OF E1�ERE1T IOCAL SALES TAX CODB�S J105 I <br /> WORK OESCRIPTION <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTUR[Oq ITEM N0. TVpE OF FIATUNE OR REM <br /> WniEHCIOSEf _ ArC-A/HANDLINGUNiTS <br /> _ OATHTUB � FOFf.EDA!RSYSTEMS <br /> _ IAVATORY�W�SFI FJASIN) HEAT PUMP <br /> SHOVJ[R _ UNIT HEATERS <br /> _ KitC11FN SiNK 8 DISPC3AL ,_ CLOTHES DRYCFi <br /> I ..� DISHWASHER RANGE HOOD <br /> LAUN�RV TRAY � WATER HEATEF <br /> f,LO7HES WASHFp _ METAL FIREPIACE/STOVE <br /> , UFIKAI. PIR�PIACE INS[RT <br /> I _.,.^ URINKING FOUN7AIN . GAS FIFEPLACE <br /> ' FLCOR Ofi�IN _ GAS RANGE <br /> i _ BACICFI.OW PfiEVC-NTEFi = GAS PIPING I <br /> � SINK�SeRVIGElOAFl/MOP/E'fC.) EXNAUS7 FAN <br /> �� OTHEF7----,., - — OTHEfl <br /> � 1 HEGEOV CEFlITIFV TNAT I MAVL FF.AU AND E%AMINED TMIS APPUGATION AND KNOW THE SAME TD BE TRUE AND CORREGT. ALl <br /> ' FFOVISInNSO�LAWS Atio OR'�DINACfiS GOVEI7WN6 TMIS riPE Of K'OFK WIIL OE COMPUED Wi1'H WHETHER SPECIFIEO HEf1E1N OIl <br /> NOT. THE GMNTING OF A PGRMIT DOES NOT Pf1E5UME TO GIVE AIJTNORITV TO VIOLATE OR CAIJCEL THE PROVISION OF ANY OTHER <br /> S7A1L'UFi LOCnI LAW FFGULA711JG CONSTRUGT�ON OR 7HE PLRFORMANCE OF CONSTqUC'f10h. THA71 AM AUTHORIZED 6Y THE <br /> CN✓NER UF ThliS PRDPLR7V TO PFIIFORM THE r/OPK fOR WNICH APPLICATIOY IS IdAOE AN�I CONPLY WITN THE STpTE <br /> i CGNTqAC10Fl5 L1W 102:RCW AND 296.200 WAC, - <br /> I - / / n <br /> � �gnoWfc o A wn ":'c�nled yenl l p�L/L'�� <br /> � � o <br />� <br />