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�Ald-16-02 WED 12�58 PM ( JERETT PERMIT SF.RV[CES FAX NO.� '5 257 8857 P, 02 <br /> I `--' PERMiT APPLICATION <br /> � CITY OF EVERETT PERMIT SERVICES <br /> ev r <br /> — 3200 CEDAR STREET, EVERETi', 1NA 98201, A25-257-8810 <br /> ISITE ADopESS � � pARCFL TAX I.D.N PERMIT ik <br /> / � /,2 �/�Y � �lvE�c Ue`f�3 � �.3 `���o� 6a� {�viGail -oi <br /> LEGAL L07N0. BLOCK 7RACT <br /> � DESC. <br /> OWNEF ; ADDRESS ! PHONE ( aS <br /> � �avi:�, '� cv�f"�rsc� rL ; I � � � �-{ oYT y �E 6t � J�" � 99� <br /> �vF �c� ���r a " <br /> TENA'JT KAh1E � CONTACT NAME � PHONE <br /> ( ��� N�.�at l an-cL ����) �� -8e��� <br /> I CoNTRACTOR , i A6DRESS � CONTR.UCENSEk <br /> Hc7i,��✓ Wra,��c' �f�a��� l�,I o 5� .✓� �a`f-`" ��f.3 <br /> PHG�E�oZ.S� �j�(i - ��c�1 � I ._�.�1 i`. �C/-�nll� �I��,3 ��GT/-Ol.cJG�D.�J <br /> PROPOSE�USE OF 9UIl�ING 6uildiny �?j Mechenlcal Atldluon HEAT SOURCE <br /> S. QI� �� . PERMIT R Combination R Plumbinp WQRK Aiieration D Elecldc <br /> ,u,J ��rn, ly rraE u Demolilian � Sign TYPE New L� Gas <br /> U Sptinklcr Rcp irlMsinL �.� Other <br /> CC�NTRAC7 PFICE OF W ORK (�(� �� CITY OF EVERETT LOC L SALES TAX CODE IS 3105 <br /> WURK DESCRIPTION <br /> �-���I� rac.z .��s �Ja--f�-,r ���-�..�c� (.ST2�1��'� <br /> c�-��-,-,.y� a�f-) <br /> �uM81NG MEGHANICAL <br /> NO. TYNE OF F1:.7URE OA REM N0. TYPL OF FI%TURE Ofl ITEM <br /> WA"fERCLOSET � NC--A/HANOLINGUNITS <br /> BATk ITUEI FORCED AIR SYSTEMS <br /> LAVATOR'!(WASH Bq51N) HEAT PUMP <br /> ^ SHOWER � _ UNIT HBATERS � <br /> KITCHEN 61NK& DISPOSAL _ CLOT4ES DRYER _ ( <br /> ^ OISHVlASI1ER RANGE HOOD <br /> �_ LAIJ��DRYTRAY Z WA7ERHEATER � �S) <br /> CLCTHES WAS:-!ER _� METAL FIREPLACE/STOVE <br /> � URItvAL =I FIflEPLACE INSEp7 <br /> � ORINIQ�\G FOUNTAIN GA9 FIREPLACE <br /> u FLOOR D%AIN GAS RANGE <br /> ^ 9ACKFLUW PREV�NTER � GAS PIPING <br /> _ SINK(SERVICEJDAF�lA70F'/ETC.) _,_ EXHAUST FAN <br /> , OTI1EFi__........._..—_. _ OTHER-- <br /> I �MEPF.6Y CENIT'iFY THAT 1 hIAVE FF.AO ANO EXA�dINE�THIS�\PPLICA710Y AND KNOW THE SAME TO BETRUE AND COFlflECT. AlL <br /> I PFOVISIONS OF LAbVS AND OF!DINACES GOVERNINCa THIS NPE OF WOHK WILL DE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GHANTING OF A PERMIT DOES\OT PRESIIME i0 GIVE AUTHORIN 70 VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> I57ATC OFi LOCAL LAW PCGUL4TING CONSTRUCTION OR THE PERFOFMANCE OF CONSTRl1CTION. THAT I AM AUTHORIZE�BY THE <br /> OYvTEH OF TNIS PflOf'EFiTY TO f'ERFOFM1I THE WORK FOR WHICH P�PPLICATION IS MAOEAND I COMPLY WITH THE STATE <br /> J CONTFL1CTOfi5 YJ td27 RCW AND 25U,�00 WAC. <br /> � d,� , �'�-�`C�'� � � � � � �`�`�_ <br /> Signature af OwncdCoNrsctadAuthorizoJ A�cn� pa�a <br /> I <br /> �_• --........_....._ .__...�._ <br /> !��. <br /> � l <br />