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DEC-11-02 WED 02�10 PM EVERETT PERflIT SERVICES FAH NO, 425 257 8857 P, OZ <br /> _. .._ . <br /> � � PERMIT APP�ICATIvN <br /> � CI7Y OF EVER�TT P�RMIT SERVICES <br /> I 3200 CEPAR �TREE7, E�'ERETT, WA 98201 <br /> A25•25�-� e10- FAX 425•257-8857 <br /> SITE AODHES:. PARCEL TA%I.D.A PERMIY 1 � <br /> ��?i',� ( �-0� � h-�-° '-�" ��� � <br /> - �� 9LOCK TRACT <br /> LEOp LOY N0. <br /> Df.SC. <br /> O�YNEH � ROORESS 21P PHONr <br /> ,C�jti2 yG25 /a.�v o �'i'�rL t_ 7U/ZO �t�G2�/I�_'�J t.,/+ � <br /> TEI:ANTNAME CONTACTNAME PMONE <br /> I 5�r��� STiZuiHC2 � Z ��Zo2' 7Zs� <br /> CONTHACiOR � ��G�s�(7{�/ ADDRBSS��3 3���4t/G�fJa Z�P ��R•�IClNSE Y <br /> PHON <br /> �jo6�2��/' /� 2 / -Jr�T/G �A �io9 �tiSiiya,vs <br /> _ �., 2s3 ZoZ-�25 <br /> PAOP09EDUSEOFeUIL01NG Bwldinp Mechankol Addit�on HE0.T504RCE <br /> PEFMfT R�..( Comhmallon R�-( Plumhing WONK a4emtion (� EleWric <br /> B Gas <br /> �G s%n�,� A,� 1 7ypE {_,1 5�^�oiah LJ Slyn TMPE � flepa�rnAauil. OIh9r <br /> U <br /> CONTRACTPRICEOFWORN ZSZS�� CRYOFEVERlTTLOCALSALE9TAXCOOE153105 <br /> WOflK01'3CRIPTION /NSinL (A%�uN �� U� L ��O L/ S%�O L� Q ��� �l'�NT <br /> �-��oq jV�o/J/1LSSlu./.� :4�.STLv✓� � •v CGi+ SS 1 /-�ua �J <br /> "— PLUMBING MECHANICAL <br /> N0� I TVPE OF�IXTUPF Ofi ITEM NO. TYPE OF FI%TURE OR ITEM <br /> � WATER(:�OSE'f __ A/C-AIHANDLINGUNITS <br /> I _ BATNTUO = FORCEDAIRSYSTEMS <br /> LAVATqfiY(WASH AASIN) HEAT PUMP <br /> I = SHOWFFl _ UNITHEATEFS <br /> KITCI�IEN SiNi<S UISPOSAI _ CLOTHES DRYER <br /> DISHWASFI�fi _ RANGE HOOD <br /> ^ LAUNDRY TPAY _ WA7ER HEATER <br /> � _ CLOTHES WASI�ER _ METAL FIFEPI.ACE/STOVE <br /> __ URINAL _,._. FIREPLACE iNSERT <br /> � OFlINKING FOUNTAIN . _ GAS FIREPI.ACE <br /> � FLOOR ORAIN _ GAS RANGE <br /> j ._ BACKFIOW Pf1EVENTER _ 0A5 PIPINO <br /> I „ SINI<(SERVICE/OAFi1MOPlC7C.) _.� ERNAUST FAN <br /> � � , OTHEH� � OTNEP <br /> I ��- .___' . � <br /> � I <br /> I HERFBV CEf71TIFY 7HAT I I IAVE HEAO ANO EXAMINED LHIS APPLICATION i1ND KNOW THE SAME TO BE TRUE ANp CORRECi. ALL <br /> PHUVISIONS OF IAWS AND ORIDINACES GOVERN�NG TMIS iYPE OF WORK WILL BE COMf'LIED WITH WNETHEF SPECIFIED HEREIN OR <br /> NUT. THE GHANTING OF A PERMIT OOES NOT PHESUME TO GIVE AUTHORITV TO VIOUTE OR CANCEI THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGUIr71NG CONSTRUCTION OR THE PERFORMANCE OF CONSTRUC710N. THAT I AM AUTHORIZED BY TME <br /> OWNER OF 7Fn5 PROPGH�Y TO PCRPORM TH WORK fOFl WHICH APPLICATION IS MADe AND 1 COMPIY WI7H 7HE STATE <br /> I CONTRAC AW 16.2 RC 962 AC. �� <br /> , ��•-/�-aZ �n\ <br /> ; Dele P I� <br /> i n ol neU� � r! u on h Agenl I <br /> i <br /> I <br /> ( <br />