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JAN-16-02 WED 12:58 PM EI' ETT PERMIT SERVICES FAX NO. 42' i7 8857 <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR S7REF.T, EVERETT, WA 98201, 425-257-6810 <br />P. 02 <br />SITE ADDRESS <br />`6 D <br />LEGAL LOTNO. BLOCK <br />PARCEL TAX LD. N <br />TRACT <br />PERMIT a <br />o9o3-of Cc <br />DESC. <br />OWNER <br />I <br />1� (1f <br />ADDRESS <br />a <br />e gtol <br />PHONE L.I,Z i - <br />— <br />TENANT NAME—� <br />CONTACT A E <br />��}}7�7U 1 <br />PHONE <br />zf) <br />CONTRACTOR <br />�i � w� ll��Fe✓i�ta�wS �nc� <br />PHONE' <br />q 5- cj-fi �tsi <br />ADDRESS CONTR. LICENSE A <br />IZ 10L4 ,e 12gr" a#�►3 <br />. Tllyk1"a-vl� 1.1711 �D�S( ACV <br />IL <br />PROPOSED USE OF BUILDING <br />Build ingMechanical <br />Combinati . Plumbing <br />Demoiilion Sign <br />SpfinMer <br />AdditionJ1FAPERMIT <br />WORK AueratonTYPE <br />TYPE �Dj New <br />RepaidMain <br />CONTRACT PRICE OF WORK <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />WORK DESCRIPTION <br />•¢nP' i I �Q G l/� '� i ems% <br />ri e a�•e-,/ <br />&1JM8ItjG <br />NO. TYPE OF FIXTURE OR REM <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />WATERCLOSEf <br />EIATI ITUD <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />13ACKFLOW PREVENTER <br />SINK (SERVICE/BAF:VMOP/ETC.) <br />__ <br />_ <br />_ <br />_-j-- <br />_^ <br />_ _ <br />A/C -A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACEISTOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />_ <br />.- <br />_^ <br />_ <br />_ <br />HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATON AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW IB.27 RCW AND 296.200 WAG. <br />�, \\l a,AA-� 14-)i %I <br />