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APR-15-02 MON 03:01 PH EVERETT PERNIT SERVICES FAX N0, 425 257 8857 <br />__-. �. � <br />PERMIT APPLICATION <br />C17Y OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERE7T, WA 98201 <br />425-257-0810 - FAX 425-257-8857 <br />P. 02 <br />I��ce�c.�+ c�doln�.�.o� <br />SITE ADDRESS PARCEL TAX I.D. tl � PERMIT tl <br />17�5 G/.�h'l� d.u�w �-, I an 5� 93�OnrJn �fo� I f'�`� ��� -�-`� <br />LEGf. LOT IJO. <br />oesc. �s6. b7 <br />BIOCK TRACT <br />90D-oo -Sha {�Pl�s lS'��9�lci <br />_�a'L-*.� /6�.� � rNa.w,u (/,� 0� . F-,�,�e� 9Pan 1 <br />TENANT NAME I COMACT NAME PHONE <br />An-�=- - <br />CON7pACTOR �,,; /, =/�,_� �, f,- A�DRE55 // p/� N�� P{�µ � ZIP CONTA. LICENSE Y <br />`"`"f'`c'v�• �slv-�`• � //1 � 980/l (hcifaCa3oP8" <br />PqOPOSED U58 OF BUILDING <br />�c.��'L�- <br />GONTFACT PRICG OF WORK <br />Building Mechanical <br />PEF;tdlt R Ccmbination � PlumOing <br />T'PE D Dernofilion �J Sign <br />�� Sprinkle; <br />Addilion <br />WORK Aticralion <br />TYPE Nen <br />Rcc�irlMaint. <br />MEATSOURGE <br />Etttufc <br />Go5 <br />Other <br />CfTY OF EYERETT LOCAL aALES TAX CODE IS ]705 <br />WORKOCSCHIP710N � ����� �._, O i•/..��y� <br />� cR. i�,�.2�� /�v� r _/� ,�wcc,� iL�, <br />,�o�. <br />NO. � TYpE OF PUCTUpE OR REM <br />___ WAT�R CLOSF'f <br />__, BA71iTU8 <br />__ LAVATORY (YJASH BASIN) <br />^_ SIaG4VER <br />_ KITCHEN SINK 8 DISPOSAL <br />DISHN/nSf IFR <br />_ l�1UNORY TRAY <br />CLO7HES NJ�S`IEA <br />_ URINAL <br />_, ORINKING FOUNTAIN <br />FLOOR Df?AIN <br />BACItFLO�Y f�fiEV[NTER <br />~ S1NK (SERVICE/DAfL'MOPiE7C,) <br />_ OTHER_____._ <br />NO. � TYPE OF FIXTURE OR REM <br />__L_ AIC —AtHANDLING UNITS <br />_ FOflCED AIR SYSTEMS <br />_ HFAT PUMP <br />_ UNIT HEATERS <br />_ CLOTHES DRYER <br />,_ RANGE HOOD <br />_ WATER NEATER <br />_ A4ETAL FIREPLACE/STOVE <br />_ FIREPLACE INSERT <br />_,,_ GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />_ EXHnUSTFAN <br />_. OTHER <br />I HERCBY CERITIFY 7HAT I H�Vk READ nND EXFM�NED TH�S APPLICATION A�D KVCN� THE SAMc TO BE TpUE AND CORFECT. AlL <br />PfiOVI51CNS OF LAWS AhD OFIDINACES GOVEFN71.'G Tk11S TYPE OF 1vOFK WILL 0E COMP�IED NIT71 WHETHER 5°ELIFIED MEREIN OR <br />N07. THE GR�WTING OF A PC•RMIT DCES NOT PRESU,V,E TO GIVE AUTHORIiY TO VIOIATE OR CANCEL THE PROVIS�ON OF A,W OTHER <br />STA1'F. OH LOCAL lAW RE6UWTItJG CCNSTRUCTION OR THE FERFOFMnNCE OF COhSTRUCTION. THAT I AM AUTMORQEO BY THE <br />OY��F.n OF 7HI5 PROPE�lY TO f'ERFORM TME 1NORK FCH 1YHICFi AfPLICnTtON IS A1ADE MD I COMFLY WITH TIiE STATE <br />LONTfiAC70R5 LAW 18.27 RCW nND 2�J6,200 VlAC. <br />c1 . // .. / . i i <br />