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JAN-23-02 W@D 01•32 Pfl EVERETT PERflIT SERV[CES P��1FAX N0, 425 257 8B5 <br />�► �, P I - �z .� <br />ERM T APPLICA � ION <br />CITY OF EVERETT PERMIT SERVICES <br />�- 3200 CEDAR STREET, EVERETT, WA 98201, 425•257-8810 <br />SITE ADDpESS <br />(�loc�0 NARO�SOn� �oQO <br />LEGAL LOT NO. BLOCK <br />GESC. � <br />OWNER <br />/NTI�AGo/1P /NL <br />PARCE� TAX I.D. A <br />ADDRESS � $ p$ ZNb <br />'SE�T7�E WA <br />TENANT NAME I CONTACT NAM@ <br />�20,.� mo�Nn+,�1 <br />CONTRACTOR <br />3 8 �3 /��lst�c���-no� <br />PHONE �5�3) 722- l�Jl SS <br />P. U'l �' <br />PERMIT x <br />6o ad � <br />Su rT� 300I PHONE <br />98/2� j 2ofo- bzs-92Lfe <br />ADDRE55 <br />I �f v� � 5 C� <<^, ce� e r�.c�r+ <br />OR<<,onr c �Ty �2 970�� S <br />PHONE <br />CONTR. LICENSE k <br />Co -I �-I 1 a <br />PROPOSED USE OP 9UILOINO �3 Building n Mechanical n Aaaiiion HEAT SOURCE <br />S,��L`� ��� PERMI7 f-S Comhination CS Plumbing WORK I-S nita.atton j� Ek�id� <br />��nfti R�Lo�QS TYPE C� Demolitlon D Sign TYPE I� New Gas <br />D Sprinkler � Repa�dMeme B olher <br />CONTF;ACT PRICE OF WORK � 2(p 3 Z'� (� CITY OF EVERETf LOCAL SAIES TAX CODE IS J705 <br />WORK DESC(iIPTION <br />��NS��� ST��c�� RFc. r. C'P'1tNP�� S�,$;-fM <br />pN�sE 3 oti�L;� <br />No, � TYPE OF FIXTURE OR ITEM <br />� WAT[H GLOSE7 <br />� OATH'iU0 <br />_ U1VA70FY(WASHBASIN) <br />_ SHOW[R <br />_ KITCI ICN SINK 8 DISPOSA� <br />__ OI5HWASFICR <br />__., L4UNDRY TRAY <br />_ _ CLOTHES WASHER <br />__ URINAL <br />URINKING FOUN7AIN <br />_ FLOOfi �RAIN <br />OACKFLOW PREVENTER <br />_ SINK (5ERVICE/9Afi/MOP/ETC.) <br />_, OThIER_.,__ <br />NO, � TYpE OF Fl7(TURE OR ITEM <br />_ .4/C - A/HANDLING UNITS <br />� FORCED AIR SYSTEMS <br />_ NEAT PUMP <br />_ UNIT HEATERS <br />_ CLOTHES DRYER <br />_. RANGE HOOD <br />_ WATER HEATER <br />^ META� FIREPIACFJSTOVE <br />_ FIREPIACE INSERT <br />� GAS FIREPLACE <br />._. GAS RANGE <br />._ GAS P�PING <br />_, EXHAUST FAN <br />_ OTHEq <br />� HERf.?Y CEfil I'IFY THA7 I MAVE REAO ANO EXAMINED TM�S APPLICATION AND KNOW THE SAMC TC BE TRUE ANO CURFECT. AI.L <br />P1?OVISIONS OF lAWS AN� ORIDINACES GOVERNING TFIIS 7YPE OF WORK WILL 8E COMPLIED WITN WHEfHER SPFCIFIED IIEFEIN Oq <br />NOT. T}{c GHFPITINC Of A PEAMIT DOES NOT' PFESUME TO GIVE AUTHOFITY TO VIOLATE OR CANCEL Ti1E PROVISIO� Of ANY OTHEq <br />S L1T[ OR LOCl.L LAW RF'GUTATINa CONSTPUCiION OR THE PERFORMANCE OF CONSTRUC710N. T}iAT I Ald AUTHORIZED BY THE <br />GWNER Of THIS pFlOPERTY TO FERFORU THE WORK FOq WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CQNTRACTOPS U�W 18..7 RCW AND 29G200 WAC. <br />_- K�->..0 C � % �-- _ C� � �� �0 2- <br />