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JAN-16-02 WED 12:58 PM EV�iT PERMIT SERUfCES FRX N0, 425r�; 8857 P, 02 ' <br /> i�-��� PERMIT APPLICATION <br /> CITY OF �VERETT PERMIT SERVICES <br /> �� 3200 CEDAR S7RE�T, EVEREI?, \NA 98201, A25-257-8810 <br /> SITE A�UR��S PAfii.EL TAX I.D.M PERMI7 ik <br /> � l� b �q o5� � aoaay400 Mo,��- v3� <br /> LEGA� L07�N0. BLOCK TRACT <br /> DESC. <br /> I �WNER � ADDRESS S'�,_.r.,,./ � PHONE <br /> �vv� � � il`-I�Z�I r L �.C�oo��c��i,l�� �5�2�.Z �3IaD-�ti"7—�o8`�1 <br /> TE�JANT NAMC ' � I�,�, �'C'.i'�CT V�A ��( Jr✓l�r� j( /r) PHONE y� <br /> � � i <br /> 1iAi�ei`✓;� � �1"-o�1n./ 1 .S( � <br /> CONTRACTOR � � I AdDRESS CONTR.LICENSEY <br /> �:`' uv� �a1e•✓�{a�-L-✓� U� I '�� �� �"D�� t�;L IZ�Ir'"' �r-?$L13 <br /> PH4N't�Z �_ .. -.G - $ ' `iSf � ! �iY��� a-v�� l,t� � ��SO��( /�L1:�QwNO'�`��(� <br /> pROPOSED USE OF 6UILDING (� Buildiny �echanlcai �utltlon HEAT SOURCE: ' <br /> SI�� PERMIT �} Combinatio Plumbing WORK R niteration D Elearla <br /> \ TYPE D Demolilion Sfgn ?YPE � New D c�as <br /> U Sprinkler R^pnidklainL u Other , <br /> CONI'flAC7 PH�CE 0F WORK [)'O Q 71TY OF E4ERElT LOCAL SALES TAX CODE IS 5105 � <br /> _ P <br /> WURK DESCR�PTI�N ` <br /> � �� �.c.�e.. � t�.� "��� r�e a 1�✓ <br /> p1 IJMBI�yG MEGHANIGAL <br /> NO. 7YPE OF FIXfURE OR ITEM N0. TYPE OF FIXTURE OR ITEM <br /> �VA"fE�CLOSET � A/C-A/HANOLING UNITS <br /> J BATtITUCI _ FORCEDAIRSYSTEMS <br /> LAVATORY(VJASH BqSIN) _ HEAT PUMP <br /> SHOWER _ UNIT HEATERS <br /> KITCHEN SINK&UISf'OSAL _ CLOTHES ORYER <br /> ^ UISHUlASHCR .._ RANG�HOOD <br /> "' lAl1NDRY TFAY � WATER HEATER <br /> � C,LOTHES WASHER _ METAL FIREPLACEISTPVE <br /> ~ UHINAL "^ FIREPLACE INSER7 <br /> � ORINI<ING FaUNTAIN GAS FIREPLACE <br /> FLOOR DFlAIN GAS RANGE <br /> 9ACKFLOW PFiEV�N7ER � GAS PIPING <br /> SIhK(SERVICEIDAF�lA40p/ETC.} �� EXHAUST FAN <br /> _ OTIiEfi__........_�_.�_ _ OTHER <br /> I HEFFBY CENITIFY THAT I}IAVE FF.Ao AND EXAIdINCD THISl1PPLICA710N AND KNOW ThE SAME 70 BETRUE AND CORRECT. All <br /> {�F,OVISIONS OF IAbVS AND OFi1DINACES GOV�HNING TIIIS NPE OF WOHK WILL BE COMPLIED WITH WHEfHEft SPECIFIED HEREIN OR <br /> �:uT. 'i HE URANTING OF A PEFMIT pOBS NOT PRESl1ME TO GiVE AUTHORITY TO VIOIATE OR CANCEL THE PROVISION OF ANY OTHER <br /> 5TATE GFl LOCAL LAW R6GULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br /> OWNF.H OP THIS PflOf`FFT�TO PERFORM TNE WORi:POR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CUNTRl.CT fiS LA4V 1R. RCW AND 296200 WAC. <br /> ��, ✓� � <br /> Signatir,c ol p�vned antractod.4uihoriz Agcnt Dalo <br />