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JAN-16-02 WED 12:58 Pn :VEP,ETT PERMIT SERVIC@S FAX N0. '5 257 8057 P, 02 <br /> - PERMIT APPLICATION <br /> ����.-��„- CITY OF EVERETT PERMIT SERVI�ES <br /> 3200 CEDAR S7flEE1', EVERE7T,INA 98201, A25-257-8810 <br /> SITE ADORESS . F'A':CEL TAX I.D.t PERMI7 fl <br /> �18�4 C� l ' - p � � 0� , d0 ltilUSco -G�nZ <br /> LEaAL L07N0. OLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS PHONE <br /> �uiru�,., Br�c�.Kes . �� c'v��v�'�= �1.� �Jzs� 7�'3-Osa-s- <br /> TENANT NAh1E � CONTACT NAME PHONE — <br /> /i � <br /> a �� 92�-7�SS cL�S <br /> '�'�� �r. �� t L I AUDRESS CONTR.UCENSE M <br /> TOTEM CUMINERCIALCENTER /�G(IDUJ(��D� <br /> aHONe �27U4 NE 12ath ST M 43 4Z5- �4� � ��3� <br /> pROPOS oU E OF BUIL�ING (� 9ullding �} Mechanlcal Atldinon HEAT SOURCe , <br /> PEAMIT f� Combination �j Plumbfng WORK B amratwn D Elocvlo <br /> � / � � TYpE Demolillon U Sign TYPE U New 'psl �� <br /> /D B Sprinkier Q� Rcp�tdMainL �.� O�her <br /> CONTRACT PRICE OF WORK CITY OF EVER6R LOCAL 6AlES TAX CODE IS 5105 <br /> WORK DESCRIPTION ��p�t�� (.�„y S ,(�t�Lt�A YE%� �� ��- <br /> �?I�S�r, <br /> ��M�� �ECHANICAL <br /> NO. 7YPE OF FIXfURE OR ITFM N0. Tf PE OF FlXTURE Ofl ITEM .. <br /> � WATERCL08Ei . ^. PJC--NHANOLINGUNITS <br /> BATI ITUE� � FORCED AIR SY8TEMS <br /> _ LAVATORY{WASH BASIN) _ HEAT PUMP <br /> SHOWEfl _ UNIT IiEATER3 <br /> ^ KITCHEN S�NK 8 DISPOSAL _ CLOTHE6 DHYER <br /> � DISHWASHER RANGE HOOD � <br /> �,,,_ l.qUNDRY TRAY � WATER HEA7EF <br /> _„_, CLOTHES WASHER � ME7Al FIREPLACFJSTOVE . <br /> � UR4VAL � FIFiEPLACE IN6Eq7 <br /> � OPINKING FOUNTAIN _ GAS FIREPLACE <br /> FLOOR DRAIN _ GAS RANGE <br /> BACKFLOW PREVENTEii _ GAS PIPING <br /> _ SI�K(SERVICFJOAF�lMOP/�TC.) _ OTHEUST FAR N � <br /> '„_ OTI1EFi___......ti_�_. <br /> 1 MERfBY CEFITIf•Y THAT 1 FIAVE flF.AO ANO EXAMINE�THIS APPLICATIDN AND KNOW THE SAME TO BE TRUE AND CORREOT. AL4 <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNIN�Th11S TYPE OF WOHK WILL DE COMPL�ED WITH WHETHER 6PECIFIED HEREIN OR <br /> NOT. THE GR.WTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTHORITY 70 VIOIATE OR CANCEL THE PROVISION OF ANY OTHER <br /> S7ATC•Oq IOCAL LAW REGULATING CONSTRUCTION OR 7HE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNEH OF THIS Pf70f'ERTY TO PERFORM THE WORK FOR WHIGH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> GONTR�CTOFS U+W 10.27 RCW AND 286.200 WAO. . . <br /> �;1_�� ��� z � o s <br /> Sigrya re o(pwncdContractorlAuthorizad Agent p��o <br />