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SEP-24-02 TUE 02�09 PM <br />��� <br />���� r�; <br />SITE AD[IRESS <br />� EUERETT PERMIT SERVICES FAX N0� 425 <br />PERMIT APPLICATION <br />257 8857 . <br />CITY OF EVEn�TT PERMIT SERVICES <br />3200 CEDAR S7REET, EVERETT, WA 98201 <br />• � . 425•257-8810 — FAX 425-257-8857 <br />PARCEL TAX I.D. � <br />P. 02 <br />,��� .�-�ar � I�r� ��.� 31 o I C�- S+ ��.u�€- � A- 4'�� 1 yas usi. �az� <br />TENANT NAIdC CONTACT NAME �� PHONE <br />�iivcff �n�c t��r �� _ `cw�- C✓ll�l,� 2�3- Ss(- �s � s e,+.lu I <br />CONTRACTOR ADDqESS ZIP CONTfl.L1GENSEM <br />oiscw��.���+,--- 43u� ¢SrN��� 9�i Wac�-ou�uF��iac�+ <br />pHONE <br />d.d,,. ,.,�. 4,fml r�,.,,.� _ 4r�rN <br />PROpOSFOUSEOFBl11LDING 6uildiflg n Mechenical Atltlltian HEATSOURCE <br />PERMI7 �COfl7bif1dfl0n [-5 Plumhtng WORK R Allerelion [� ElccUlc <br />,r�� ��� TYPE Oemolil(on � Sfgn TYPE New RGac <br />Sprinkler � RepaidMainl. V Olher <br />CONTRAC7 PRICE OF WORK � 3 3� 3�� �� CITY OF EVEqETT LOCAL SALES 7AX CO�E IS 3705 <br />WOFI( D[6CRIP710N ' <br />Swf+.�( �n.w�-��iSPi,..,�Lv�jSrow ,v`- ,�..a� G�,ww�v� dl�d. <br />NO. I TYPE OF FIXTUflE OR REM <br />CLOSEi <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KI7CH�N SINK 8 DISPOSAL <br />DISHWASHER <br />l.AUNDRY TRAY 1�, <br />CLOTNES WASHER � <br />URINAL <br />DRINKINO FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PAFyU NTGFi <br />SINK (SERVI�BAR/MOP/ET <br />NO. � TYpE OF FlXTUpE OR ITEM <br />A/C, A/HAtJQLING UNITS <br />FORCED AIR SYSTEMS <br />I1EAT PUMP <br />UNI7 HFJ�TERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />ME'iAL FIREPLACEJSTOVE <br />FIREPI.ACE INSERT <br />GAS FI(iEPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTF <br />�'k <br />I HEFEBY CERITIFY THAT I HAVE FlEAO AMO E\AMINED THIS APPLICATION AND KNOW TNE SAME TO BE TAUE AND CORFECT, ALL <br />PRJVISIONS OF LAWS AND ORIDINACES OOUERNING THIS 7YPE OF WORK WILL 6E COMPLIED W17H WHETHER SPECIFIED HEREIN OR <br />NOT. 71iE GfiANTING OF A FERMIT DOES NOT PRESUME TO GIVE AUTHOftITY 70 VIOLATE OR CANCEL 7HE PROVISION Of ANY OihIEF <br />STATE OR LUCnL �AW qFG�IJv+T7N0 C9ySTRUCnoN OR THE PEPFOAMANCE OF CONSTFUCTION. THAT I AM AUTHORtZED eY THE <br />OWNER OF THIS PHOp Fl"ty TO PF.$!r¢RM THE�ORK FOR WHICH APPLICATION IS MAbE AND I COMPLY WITH THE STATE <br />CONTRACTOFS LAV� �� RCWp�H 296.200 W . <br />