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JAN-23-02 10:21 FROM-NORTIINEST� C-IM1R 206-314-Oq1 T-201 P.Oi/02 F-Bil <br />P�RMIT APPLICAT�N <br />CITY OF EVEREIT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />SITE ADDREa9 <br />18' <br />L.E(LV, LOT � <br />DE3C. <br />OWNER <br />C1'a b � e <br />T6NANTNAME <br />� l {9 <br />;� �¢✓t <br />� <br />�-�.�.� �-�,�e <br />�A� GSe� <br />�+o�+e a a �- � i>-`t� v o <br />PROPOSED US! OR lUILDiNG <br />�� <br />PlRMIT <br />r� <br />CONTRACT PAICE OF WOF I(-� <br />WORK DE'JCRIPTION <br />— �\a�A o � <br />NO. I TYPE OF FlXTURE OR REM <br />WATER CLOSET <br />BATHTUB <br />UIVATORY (WASM Bp.51N) <br />3HOWER <br />KITCHEN SINK d DISFOSAL <br />DISHWASHER <br />UUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVEPISER <br />SINK (SEpVICE/BAR/AIOP/ETC.) <br />OTHER _ <br />PARCe� r�►x �.o. x <br />S38o -oc�v-o93-oxo <br />a yi r -� Fi�; �- �( <br />CONTACTNAME q <br />�an��c a t�•.1l ��' <br />ADDRESS <br />1 �v o —(1�4rr.�4j F< ra.� <br />�a'�, 9F�4> <br />PERMIT � <br />! 03� <br />PNON! � } f <br />asi-�}a <br />r��` PNON! <br />�81-y7-uv <br />co�. ucense r <br />Buildinp /Qf M�Ch�nical Aadition MEAT SOURCE <br />COmbination Plumbing WORK Albraibn EI«;trk <br />Demolidon B s�� n� �, �►a. <br />6pMnW�r RepelrfMainR OeNr <br />[1 e9 ei dTY 0: N[RE'i'T LOCAL SALEB TAX CODE IS i101 <br />Tl� 9°!) �un <br />S` 4 f �.10.�8✓ ��CM�6Y <br />�. I 7YP! OF RX7URE OR REM <br />A/C-A/MANDLING UNITS <br />FORCED AIR SYS7EMS <br />NEAT PUMP <br />UNIT HEATERS <br />CIOTHES DRYEq <br />RANGEMOOD <br />NVATER NEATER <br />METAL fIREPLACE/STOVE <br />FIREPLACE INSERT <br />OAS FIREPIACE <br />GAS RANGE <br />f3A5 PIPING <br />EXNAUST FRN <br />OTHER <br />I MEREBY CERRiFY THAT 1 HAV s READ MID EXAMINED THIB MPLICAitON Mlp IWOW TIiE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS ANO Oq101NACE4 GOVERNING THIS TYPE OF YYORK WII,L BE COMPUED WITH WMETMER SPlCIfIED HEREiN OR <br />NOT. THE GRAN7INO ORA PERMIT OpES NOT PRESUMH T031VE AUTHORIIY TO VIOLATE OR CANCEL THE PROVI910N OF ANY OTf1ER <br />STATE OR IOCAL UW REODUTINp CONSTRUCiION Oq THE PERFORMANCE OF CONSTRUCTION. TIMT 1 AM AUTFIORIZED BV TFI! <br />OWNER OF THI3 PROPER'TY TO PEqFOqM TME WORK FOq WHICH APPLICATION IB MADE AND I COMPLY WITN TFIE STATE <br />CONTRACTORS UW 18.27 RCN AND 296.200 WAC. <br />