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( <br /> � PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA G8201 <br /> 425457-8810-FAX 426-257-8857 <br /> �R!^QD � ( W I � Y�'�� C.� 3 CG�TAX I.D./ U HMIT x� _O/ � <br /> 1,.+ <br /> Li LOTNO, ULOCK TRACT <br /> oeec. <br /> l�'1G OD no � 6 F-� �-f�QQI �D�bU ,4t� �il.2f� ig2v3 �t2� 2Sg G57� <br /> T6NANT NAM6 CONTAST FON Pt11MIT c,�Qr�Q PHONE <br /> I ��lG�.�'� E2�.(14��u.t� �.^4 zSZ�7cb <br /> CONTRACTOII ADDIUN�_+, , LP CONTR.LIGiNf¢/ <br /> PMONC �(,JVa� �� I�r(UVK��a""L �d(Q9 wAJM.r�sqyo�c,� <br /> 2oc� z8Z 70o i <br /> PROPOlEDUfEOFWLDINO BWl�np AMChiniql A0017on NGTfWRCE � <br /> PiRMR Gombkwtlon PlumWnp WORK Nmntion QENdnc <br /> TYPF DemoWtlon Sipn Mi N�w �Q (iu <br /> � SDMnklar RWWNM�MG U OMr <br /> CONTRACT�NC[0�WORK %,oO �� CITY OF 6ViRGTT LOCAL iKEt TA1f CODE K 770/ <br /> k <br /> want o��aanwr <br /> �ar - 4u� t.��.� ka� c.G�4� oh..�' <br /> PLU I <br /> . N0, TYP'.OK FUCTIlRi OR rtiM NO., TYPE Of FlXTUR!OR R!M <br /> WATER CLOSEl'(TOILEn A!C-AJHANDLING UNITS <br /> � BATMTVB f0�4CEDAIRSYSTEMS <br /> _ LAVATORY(WASH BA31N) HEAT PUMP <br /> ,_ SHOWER _ UNIT NEATERS <br /> ,� KITCHEN 61NK 8 DISPOSAL _ CLOTHES DRYER <br /> � DISHWIISHFR RAN(iE MOOD <br /> LAUNDRYTRAY � WATERHEATER <br /> ` CLOTHES WASHER METAL FIREPU10EIbTOVE <br /> URINAL � FIREPLACE IN8ERT <br /> _ DRINKINO FOUNTAIN _ GAS FIREPL4CE <br /> „�,,, FLOOR DRAIN f3AS RANGE <br /> ,� 9ACKFLOW PR6VENTER _ GAS PIPING <br /> � SINK(SERVICEIBARIMOP/ETC.) EXHAUST FAN <br /> OTHER _ OTHER <br /> I HGRHYY CiRITIFV TMAT I MAVL READ AND E�WMINEO TMIS APPLICATION AND KNOW TNi QMiG 70 Yi TRUF AND CORRiC7. ALL <br /> PROVISIONS OF UWS AND ORIOinUCE9 GOVfiRNWG THiS TYPi OF WOwc Wlu Gi CCMPLIED WITH WHETHER SPEGIflED HEREIN OF <br /> NOT. THE ORANTING OF A pfiRMIY DOES NOT PRBSUMfi TO G�VG A�TMORitV 70 VIOLATE OR GNCEI THE PROVISION OF ANV OTNER <br /> STATE OR LOCAL LAW NEGULAfiNG CONS7RUCTtON Ofi THE PfiiF0liMANCE OF GONSTRUCTION. THAT I AM AIRMORIZ[D BV TNi <br /> OWNtR OR TMI�PROPf1l1Y TO I'[RFOlIM TME WOIIK FON WNICM APPUCATION 17 MAD[AND I COMPLY WI151 TM!6TATE <br /> CO CTORS W il.27 IICW AND 2DE.2001YAC. <br /> �I,,��.��� e� � ��� -a3 <br /> s��`�'������ ,o :. .� .�-- <br /> DEBIT i CREDIT CARDS AR8 NOT ACClPTlD <br /> te �a ietE eze tze zzne we sc: ie seez-es-Nnr <br />