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MAR-12_02 TL'E 01�51 PM EV ''TT PERMIT SERVICES FAX PIO, a�`257 8857 <br />P�RIIJ�17 p►PP�ICATION <br />CITY O� �V�R�TT PERMIT SERVICES <br />3200 CEDAR STREET, EVER�T7, WA 98201 <br />425-257-8810 — FA:C 425-257-8857 <br />SITE AdDRESS E G� � f PARCEI�.JAX I.D. M <br />��oS r.irP,�am�en l,�u ��n �3I ��os o �� �,ao <br />LOT ND, <br />DESC. <br />rRacT <br />CONTAGTNAME <br />P, 0's <br />P@RMIT M <br />r3 D,�r�3 `c�� <br />PHONE <br />i�l ' � S'Il1 <br />PHON� �(.L•i 355- �IDJ <br />l.i�S a � I k.C!. �lC� � r��-s �.y0..(o <br />CONTRACTOR AOORE55 ZIP CONTR.LICENSEtl <br />'�,�� I�tb� 51 y� �PL. SW, <br />PHON �? _��...:__._ � ��' - �1/¢.i'2,'i� l/-Y� ��03 SU;nn1e. .� <br />PROPOSEDUSEOFBUILDING i 9UIldfnp I"1 MOChanlCal AddNbn HEA750URCE <br />R n�� �na�.ti.. C�/j.� jZ�. I PERMR R COmbinal�On H Plumbing WORK R Alteralian I � Elecinc <br />� <br />�� TYPE i S Damolilion v Sign TYPE D New GoC� <br />�� Hr Sprinkier U RapaiqMainL Olher <br />COtffRAGT PRICE OF <br />WDpK DfSCAIPTION <br />�TS <br />NO. I TYPE OF FIXTURE OR ITEM <br />BhTHTUB <br />I.AVATONY (WASH 6ASIN) <br />5HOwEfi <br />KITCI IEN SINK & DISPOS�L <br />DISFIWASI IER <br />LAUNDRYTRAY <br />CIOTHCS WASHER <br />URIN�L <br />DRItJKIMG FOlJN1'qIN <br />i'LOOf101iAIN <br />�ACI<FLOW PREVENTER <br />SINK (SERVICE/BARlMOP/E7C.) <br />OTHEfI __ <br />qTY OF �VEREfT LOCAI. SALES TAX CODE IS 3105 <br />N0. I TYPE OF FiXTURE OR 17EM <br />A/C —NFIAN�LING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLO7HE5 DRYER <br />RANGE HOOD <br />WA7ER HEATER <br />MGTAL F1FiEPLACE/STQVE <br />FIREPLACE INSEp7 <br />GAS FIREPIAC� <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER � <br />I FIEHESY CCNiTIFY TI IAT I IIAVE RFAfJ ANO EXAMINED THiS APPLICATION AND KNOW THE SAME TO BE TRUHAND CORREC7. ALI, <br />PROVISIONS OF LnWS AND Of11DINACES GOVERNING 7HIS ripE OF WORK WIL� BE COMPLIED WITH WHEfHEti SPECIFIED HEREIN Ofi <br />D101. 7HE GHAN'fING OF A PERMI7 �065 NOT PRCSUh1E TO GIVE AUTHOFlITY TO VIOL4TE OR CANCEI 7HE PPOVISION OF ANY OTiI�R <br />STATE OR LOCAL I.AW REGl1lA71NG CONSTRUCT70N OR THE PEFFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIXEO BY Tt1E <br />OWNEFl QF TI IIS PRCIPERTY TO PERFOFfd THE WOqK FOR WI11CH APPLICATION IS MApE AND I COMPLY WITH THE STATE <br />CONTAACTOFlS LAW 18.27 RCW AND 296.200 WAC. <br />Sipnalura ol Owncr ConlraclodAulhorized Agenl Oele � <br />Z <br />