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JAN-22-03 WED 12�31 Pn EVERETT PERMIT SERVICES FAX N0. ��5 257 A057 P. 02 <br /> ( i, <br /> P�RMIT APPLI(;ATION <br /> CITY OF EVERETT PERNIIT SERVICES <br /> 3200 CEDAR STflEET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> SITE AODRESS PApCELTAX I.D.N � /P�M��ITr <br /> Z'J fG✓LEit /-�e•E. 003� �CcoOooz/oo I / ' �(J��-fJ�� <br /> LEOA LOT NO, 9LOCN TRACT <br /> DESC. <br /> OWNER AOORESS <br /> IP �MONE <br /> /L��,�'� �v,-ir=2 y�Z3 �oU.�c .� 982v3 �/25-z�i-ioev <br /> TENANTNA E CONTACTNAME PHONE <br /> I -s�� J�,-� o.� 3�0 - �s�- �� <br /> CoNTpqCTOR � � s. ��n� ADDRESS LP CONTR.LICENSE/ <br /> $�U^c7 E /!'1f1�.r� <br /> PHONE ,3lv0 - 795�-7�rv 9Ef272 �./,f�/cAC.�/�7.�0 <br /> PROPOSED USE OF BUILDING Building MCChanic�l Addilbn NEAT SOURCE <br /> /�//�� PERMIT Combinetion � PlumDing WORK � Altaratlon R �a�� <br /> �J/��/U/,7� IYPE Dp�kl¢on Sign TvaE New �J 6as <br /> S RepalNMainL U Olhtt <br /> CONTRACT PRICE OF WORK ��� Cf7Y OF EVERETT LOCAL SALES TAX CODE IS 7105 <br /> WORK pESCRIPTtON <br /> /��,ti �•�' �•��,uco 7-0 �'>uJ77r� �9.�i�c��r,�-cE/'- <br /> Fit��c�E, �� 7.�2 � �,`�,✓c'F <br /> PLUMBING MECHANICAL <br /> NO. TYpE OF flJCTURE OR 1TEM N0. TYPE OF FlXTUpE OR ITEM <br /> � ` WATEP.CLOSET <br /> � � [�ATH7UB — N�-�ANDLINGUNITS <br /> I _ LAVATORY(WASH DASIN) —. F�RCED AIR SYSTEMS <br /> _ SHOWER — H�ATPUMP <br /> � ^ KITCHEN SINK 8 DISPOSAL — �NIT HEATERS <br /> I _ DISHWASHER -� CLOTHES DRYER <br /> _ IAUNDRY TRAY � RANGE HOOD <br /> � _� CLOTHES WASHER — wATER HEATER <br /> • _ URINAI. — METAL FIREPLACE/STOVE <br /> _ DRINKING FOUNTAIN � FIREPLACE INSERT <br /> _� FLOOFi DRAIN ' �_ GAS FIREPLqCE <br /> _ DACKFLOW PREVEN7ER — GAS RANGE <br /> I _ SINK(SERVICE/DAfi/MOP/ETC.) � GAS PIPING <br /> i ____ O'fHER �. EXHAUST FAN <br /> , --� � OTHER`� <br /> I <br /> I HEf7E0Y CFRITIFY THAT 1 H�VE READ AND EXAMINED TMIS APPIICATION AND KNOW THE SAME TO 6E TRUE AND COfiRECT. ALl <br /> , VFOVISIONS OF LAWS ANp OFlIDINACES GOVEflNING THIS TYPE OF WOitK WILL BE COMPLIEO WRH WHETHER SPECIPIED HEREIN OR <br /> NOT. TI1E GlIANTING Of A PERMIT DDES NOT PfiESUM11E TO GIVE AUTHORIiY TO VIOLATE Oq GANCE�7FiE PROVISION OF ANY OTHER <br /> S7ATE OR LOCAL LnW f7EGUlqTINC CONSiRUCT10N Oq 7HE PERFORMANCE OF CONSTRUCTION, THAT I AM AUTHORIZEO BV THE <br /> OWN[F OF THIS PFOpERTV TO PFFlFOHM TIiE WORK FOR WHICH APpL�CATION IS MADE AND I COMPLY WITH TH6 STATE <br /> CONTRA Ll�W iB.27 q 206.200 WAC. <br /> �c��T-���e-c�.�.�-- /—z 2-a 3 <br /> Signawre o�wner/GoNra/clorlAWhonzed Apent Dete <br /> ��Ci� ✓Off'r-cTv.v , ,^� �� <br /> jv <br />