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APP�15_02 hiON 09:21 Afl �RLTT PERMIT SERVICES FAX N0. �='; 257 8857 p, Q� I <br /> PERMIT APPLIC�►T10N <br /> �^�r�, C1TY OF EVER�TT PERNmT SERVICES <br /> 3200 CEDAF STR�ET, EVERE i T, WA 98201 <br /> a25-2S7-8810-F,4X 425-257•8857 <br /> ITE AP[7FiESF. pO.flC�L TAX I,D.+T � PERMl7 X <br /> G �O �o // �r. .EiI� (�v��"�3 003 D /So� I Kd�o�l-oo� J <br /> l GA LOi N0. BLOCK ACT — I <br /> E��. DD.3 ce� � �-�.r <br /> WNER � AOORESS ZIP P ONE <br /> � � Y�^ C� °' / �� 5 �..ou� '� i d�'�� �0-3�-�7� <br /> hANT NAM (e— � CpNTACT NAME aI PHONE <br /> ��k �a,� �►' G�,c°,,�G1��elc ��6 -��—�7�t� <br /> oNrpacror� �N� pU�R �37aooHes� aa CpH7p,{10ENSEY <br /> HONE ��Ll�D�(� `387�L ��ron�,4, a <br /> � �C� i <br /> _ �'� C w o� <br /> n <br /> HOPOSED USE OF BUILOINc. Buildin9 MeCltal!icc31 A CF <br /> ��p1'xI.�_ PERMR Q�..jComBlnaGan 1R..( Plumbing WoqK Bqt �o�� "�r <br /> i ��[l �����U.W " TYPE j� Dprrm0lilfOfl �,J Slgn TYPE [J N � <br /> 0 / �zr�r •eq Snrinkler f> Fla , o <br /> h <br /> ONTPdCT PRICE OF WOfi1C CtfY OF EVERETT LOCAL 9 6 <br /> OqK DESCii1P1'ION <br /> ��.G. Fi,e�s s�i�u�zz �ysras�r �-��•�r . �r,.r�o2 <br /> �� PLUMBING MECHANICAL <br /> 0, TYPE OF rl%TUF1E OR REM N0. TYpE OF FI7(TURE OR fTEM <br /> I 6ATHTU�LOSET � A/C--NNqNDUNG UNITS <br /> .__, FORCED AIR SYSTEMS <br /> � LAVATpRY(WA3H BASIN) HEAT PUMP <br /> � SYOWER _ UNIT HEATERS <br /> _ Kll'CHFN SC:I:tL DISPOSAL � CLOTHES DRYER <br /> OISHWASIiFR _ AANOEHOOD <br /> LA'JNOFY7(lAY _ WATERHEATER <br /> i � CLOTHcS WA51•ICf� _ METAL FIREPLACEISTOVE <br /> . _,,, UFINAL ,^ FIREPLACE INSERT <br /> D"nINKIN� FOUNTAIN ,_„_ GAS FIREPLACE <br /> � FU:Jfi�HAIN _ GA9 RANGE <br /> ; BACKFLOW PREVENTER _ pAS PIPINO � <br /> OTHLNERVICFJDAIi/MOP/E7C.) _ EXHAUSTFAN I <br /> �_ O7HER <br /> 1 CREBV CERITI(•Y THAT I HAVE REAU AND EXAMINED THIS APPLICAiION AND KNOW THE SAME 70 Be TAUE AND CORREC7. ALL I <br /> f70VISI0N5 OF V�VJS AND ORIDINACES GOVERNING THIS TVPE OFNIORK Wll,l BE CCMPLIEO WRH WHETriEA SPEGFIED HEFEIY OA <br /> QT. THC Gf7AN11AG UF A PEFIMIT�OES ROT PRESUtdE TO GIVE AU7flOflITY TO VIOUl7E OR CANCEL THE PRCY1610N OF ANY 0171ER <br /> 7ATF Of I,OCAL LAW REGULATINO CON9TRUC710N OR TF{p pEpFOFh7ANCE OF CON57FUCTION. THAT 1 AM AU'HORIZED BY TNE <br /> ' r.�ER OF 7HIS PNUPERTY TO PERFORtd THE 140RK FOR WNICH IIPPUCATION IS h1A�E AN�I COMPIY WIiH THE STATE ' <br /> ! OtJ ALi0H5 LAW�.21 W AND 299.30 WAC. ' <br /> ' ' /� ��- <br /> j iy ro� n,r o arA�th riz Agern De�e <br /> � <br /> I <br /> I <br />