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JAN-16-02 WED 12;58 PM � 'RETT PERMIT SERVICES FAX N0. � 257 8857 P, 02 <br /> �"--�� PERMIT APPLICATION <br /> CITY OF �VERETT PERMIT SERVICES <br /> �-- 3200 CEDAR STflEET, EVEREI?, 1NA 98201, k25-257-8810 <br /> ^SITE AooRESS PARCEL TAX I.D.M PERMIT� <br /> / 80 � DH/�,�s �7�'� Oa�38aa��va-�o maz� � -o�{� <br /> LECAL LO7N0. BLOCK TRACT <br /> I DESC. <br /> � OWNGH ` ADDRESS i PHON= Cl1L�,S <br /> � �icK sr�s� ; / �o� I�o��cFF_�.r--�,_.�. � ��a-3Sao <br /> TENANyT/N�A,M/�E p �j� CONTpCT NAME �,�� pMONE <br /> Cif7�/il�/J Q/�.�i� QyY / i ��� �� (�-- � <br /> �{'fi ,u it� <br /> CONTRACTOR 1` i p�ORESS CONTR.LlCENSEM <br /> !�(.�',Gy� (ti:J,Y.✓11{J�'Gv S �l�1 I J qC �Z �L�� tiL IZ�I�S I_-�L)� <br /> PHONE Z .- • G - Fi � I J�LT'LQUyHO�`��I, <br /> _ �f �- - �tx �',;��kl�-:��.. u; �l �rso��� <br /> ppOPOSE�11SE OF HUIIDiNG n6uildiny �Mechanlcal Aatliuon MEA�T�SOUflC� <br /> PERMIT � Combination Plumbing WORK Alloretion g Eleclrb � <br /> TYPE �emoliiion Sign TYPE New � Gas <br /> � Spfinklef RepeidMaint Ol�ar � <br /> CONTRACTPHICEOFWORK ,� gpp�-� CITYOFEVEItET7LOCAL6ALESTA%COD61S3105 <br /> W RK DESCRIPTION <br /> ����� � QL'.� �il� �� ��', <br /> � <br /> F�UM�1L{G MECHANICAL <br /> N0. TYPE OF FIX7URE OR ITEM N0. TYPE OF FIXTURE OR ITEM <br /> ___ \VA"f�f'1CI,OSET ^ A/C—A/HANOLINGUNITS <br /> _ FIATk ITU❑ � FORCED AIR SY9TEMS <br /> _ tAVATORY(WASH BASIN) _ HEAT PUMP <br /> , SHOWER '� _ UNITHEATERS <br /> _ hITCHEN SINK 8 UISf'OSAL _ CLOTHES ORYER <br /> _ pISHUlASHER RANGE HOOD � <br /> _._ L,AUNDRY TRAY � WATER HEATER <br /> _^, CLOTHES WASHEF ^ METAL FIFiEPLAC�/STOVE <br /> I V= UH�\�L = FIREPLACE INSER7 <br /> . DRINIqNG FOUNTAIN GAS FIREPIACE <br /> f�LOOR DFlAIN GAS RANGE <br /> __ f3ACKFLOW PREV�N7F:R _ GAS PIPING <br /> __ :iIIJK(ScflVICFJDAR/A10P/ETC.) �,,,, EXHAUST FAN <br /> -- qTHER----..,... _._._ _ OTHER <br /> I HERFi3'I CGRiTIfY TNAT I HAVE fiF:AO AfvD EXA1.11NE�TF115 APPLICATION AND KNOW THE$�ME TO BE TRUE AND CORRECT. Al4 <br /> NROVISIOIVS OF LAWS AND ORIDINACES GUV�HNING TtIIS Tl'PE OF WOHK WIIL 8E COMPLIED WITH WHETMER 6PECIFIED NEREIN OR <br /> tlOT. 7riE Gfl.\tiTING OF A PEflMIi pOeS NOT PRESl1ME 70 GIVE AI�THORIiY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> i7?.7L OFl LO(:AL L.�W FfGUI.ATING CONSTRUCTION OR THE PERFOpA1ANCE OF CONSTRUCTION. THAT I AM AVTHORIZED 91'TME <br /> 011'\F.H OPTh.1S Pf10PEFiTY TO PEflFOFM ThIB1NORK FOP WHICH APPLICATION IS MADEAND I COMPLY WITH TME 6TATE <br /> WNTFV�CTOFS LAW 76.27 qCW AND r^.56.20�WAC. <br /> Sig ��'� �O -�-l- v� <br /> GnnedConiractodA�Rhotiz�dA�rnl Qato <br /> _ __......_ ....._ --__._,__ �� <br /> ' � /lJ� _ <br /> � <br />