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AUG-29-01 WED 11:45 AM EVERETT PERMIT SERVICES FAX NO, 425 257 8857 <br />P, 01 <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STRE=ET, EVERETT, WA 98201, 425-257.8810 <br />SITE ADDRESS <br />L3Q <br />LEt+A. LOT NO, <br />I�QS <br />DE <br />OW NEr <br />TENANT NAME <br />n <br />PARCEL TAX I.D. # <br />ADDRESS <br />CONTACT NAME <br />v 1 PERMIT It <br />-3 "?oq-on& <br />PHONE <br />-259-o 146 <br />PHONE <br />Ixs _wp�ySiLpr[9�s.��x��c�5 <br />CONTRACTOR ADDRESS ; CONTR. LICENSE k <br />Mshpgep- Cu�lsrRrJCno►� ' IZs015 4aoL►. pp— N e j clta�se* IgoC� <br />PROPOSED USE OF BUILDING [ Building rM,,nical Additicn HEATSOURCE <br />L'IPERMIT l Combinationn0 WORK Altaraticn D Electric <br />TYPE Dcmolition TYPE New (� Gas <br />Sprinkler (Repa;rlMalnt.Omer <br />CONTRACT PRICE OF WORK ��Y OF 6VERETF LOCAL SALES TAX CODE IS 3106 <br />WORK DESCRIPTION A5 &o- E oaAw 4rgs . —. <br />R Z M'JIE E1asTi Q G WOOD MEne,E2 <br />I Ta F'aCn1T eW-R-131.10EF. WALV- WAy 15 jii <br />i AS'> L ANIP CMNCREm sTeucrue-c. <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSF_T <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN/IN <br />DISHWAS <br />LAUNDR <br />CLOTHSURINALFLOOR D <br />DAG;Q' W PAHVEENTER <br />SINK rEI1VICC:;BAR/MOF <br />ELEVATED <br />LE-hoI►.1c, F"VI-N FP40-y 1mcal <br />ST12LUCTuREy .'REPLf1LE W tT� <br />la�.s +cwacre>re. WALL) fi <br />4L 1 <br />NO. TYPE OF FIXTURE OR ITEM <br />I <br />A/C — AiNANDLING UNITS ! <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />T UNIT HEATERS <br />...... CLOTHES DRYER <br />RANGE HOOD <br />'NATBR HEA R <br />METAL FI PLACE/STOV <br />FIRER E INSERT <br />GAS 1REPLACE �_ <br />G RANGE <br />S PIPING <br />XHAU ST FAN <br />OTHER_ <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINFO THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LA'NS AND OROINACES GOVERNING THIS TYPE OF WORKWILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRAN11NG OF A PERMIT GOES .NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CCNNSTRUCTION OR THE PERFORMANCE OR CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWKFH OF THIS PROPER1Y TO PERFORM THE WORK FOR WHICH APPL:'CATION IS MADE AND I COMPLY WITH THE STATE <br />CONTR•>CTC,,S LAW 19.2'i RCW AND 12£'6.20 WAG. <br />