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JAN-18-02 WED 12:58 Pfl '"'�RETT PER11[T SERVICES FA}I N0, a"� 257 8857 P� � <br /> - PERMIT APPLICATION <br /> �i^�!� CITY OF �VERETT PERMIT SERVICES <br /> 3200 CEDAR S7flEET, �VERETT�WA 98201, A25-257-8810 <br /> � / pARCEL TAX I.D.�/ / PERMI71t <br /> /�1RS ��lV� �� d V �� ��1J/� �� �P� �U�.�%�l-C'iS <br /> �pq� LO7N0. BLOCK TRACT <br /> DESC. pHONB <br /> OWNER ADDRESS <br /> a�.aCo►�.- G�o-hon� � � l >' �i�E ST �5°I - J'�-88 <br /> TENpNTNAME <br /> CONTACTNAME PMONB <br /> � t,,L (�� CONiR.UCENSE• <br /> CONTRAC70R Q LT�O hI W RT}t�Iz- /a /O •/�� � °� / � � "-� � GTJ��H� <br /> PHONE ' r I-t-k:�tr�e.5 �i�K�� �✓�9 98�3 � <br /> —�— Meehanlcal �'� „R�e <br /> pROPOSEO USE OF 9UIlDING Bullding p� <br /> PERMR Cambination B Plumbfnp WORK ���^ � <br /> TYPE DemoliUon Slgn TYP2 �r/Main1. � <br /> Sprinkler <br /> CONfRAC7PRICEOFWORK � — CT�oF��aTT��u'6ALEB7AXC0�151�06 <br /> WORKDESCRIPTION� rQ ' qh..�— �"Q� � �i �'��'��'{ � � <br /> � I� _ ' <br /> .p��L-f,�'� c. (�J��' t'�-��--e�' <br /> ELUMfliNa <br /> pp, TYPE OF FIXTURE Ofl REM ' N0. TYPE OF FlXiURE OR IiEUI �� <br /> ^ n,�c--n�wwouN�uNrrs <br /> _ WA7ER Cl09Ef _, FORCED AIR SY9TEM8 <br /> BATF ITUfl HEAT PUMP <br /> LAVATORY(YJASH BASIN) ., _ UNIT HFJ�TER9 <br /> SHOWER _ CLOTHE6DRYER <br /> � KITCHEN SINK S DISPOSAL ppNGE HOO� � <br /> � DISHWASHCR � WATERHEA'f�Fi � <br /> ""� IAUNDRYTRAY ^ M�'q�FIREPLACE/STOVH • <br /> ^ CLOTHES WASHEF � p�qEpUCE IN6ER7 � <br /> ` UR�NAL GAS FIREPUICE <br /> ORINKING FOUNTAIN — �s�pE <br /> — FLoOR DfiAiN � pA5 PIPING � � <br /> — B,4CKFLOW PREV�NTER � �{�pUST FAN I <br /> SINK(SERVICFJBARlMOP/ETC.) p7HER — <br /> -- OTHER ......�___... '— <br /> I MERF9V CERRIf•Y THAT I HAVE RFA�ANO IXAM�NE�THIS APPLICATION AND KNOW THE SAME 70 BE TRUE AND CORREQT. ALl , <br /> pqOVISIONSOFLAW�ANDORIDINAGE500VERNIN4TH�SNPEOFWOHKW�LLBECOMPLIEDNATt1W1iET1'1ER6PECIFIEDHERFJNOR ' <br /> STATE OR LOCAI.LAW R GUUTING CONSTRUCTION OH lNE PERFORMANC�OF CONSTAIJCTION. TT1AT I AM�AUTMO���TM�R ,� <br /> OWNEH OF h115 Pf10I'ERTY TO PERFORM THE WORK FOR WHIGH MPLICATION!9 UADE AND I COMPLV WfTH THE STATE } <br /> � CONTFV�CTOflS UW 1BR7 fl�NJD 296.20i1 WAC. <br /> / � � � <br /> ; 4�J ` <br /> /J �-,-�_� ° <br /> , Signah�oT�wncrlCantmctodAu ionze Apcnt <br /> Dalo <br /> ' _._..__..._ __....__— � � <br /> ,` �] . ._ <br /> .� <br />