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APR-15-02 MON 03;O1.P� ERETT PERnIT SERViCES FAX N0, 425 257 8857 P. 02 <br />� � <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVEAE'fT, WA 98201 <br />425-257-II810 — FAX 425-257-6857 <br />SITE ADDRESS PARCEL TAX I.D. tl PERMIT N <br />I�Q25 �J lYhr�ne Vie� Or. ob5b43-ioc�o�/Op ►11oao7-o/ <br />LEGp. LOTNO. BLOCK TRACT <br />DESC. �-% S(o ��� o-o� s� 6{�5 .is.�- � d <br />OWNER ADORESS ZIP pHONE <br />�'��e..�� ��kc.��� � fb�S E �QQr'n.e ✓i'eu� ��- �%c.�.t�' 9820 ( <br />TEN4NT r1AME <br />An�► <br />CONTpACTOR �,�G�'c ,�, i� <br />PHONG �'1 A �_ / p �_ /_ 7 � <br />�`"�' l40 �VJ <br />pqOPOSED US[ OF BUILDING <br />j��e.S�-t�.u2�,�- <br />GONTFiACT PRICE UF WORK � <br />u <br />1•IORK D85CRIP710N <br />,1-hs� 'C�Asv `�5 <br />�,c..�.�:�--� 1 � k-e <br />NO. I TYPE OF PIXTl1RL• OH REM <br />w�Tr•R c�os� r <br />BA711TUB <br />__ LAVATCRY (1VASH BASIN) <br />SldOlti'ER <br />� KITCHEN SINI< & DISFOS�L <br />,_ DISHW.nSV IER <br />_ LAUNDRYTRAY <br />CLO7HES WAShIEA <br />� URINAL <br />OR�NKING FOUN?��N <br />FLC+OR OI;AIN <br />BACI<FLO�Y PfiEV[NTER <br />_ SINK (SERVICGOAFUMOPiE'fC.) <br />_ OTHER--_--.- <br />CONTACTNnME <br />�,b�l, Tw <br />PHONE <br />�U(o -�e �'� -�o <br />AODRESSII�IZ � � Z�y N a9�o,i��f���Aca <br />Builcfing Mechanical <br />PERIaiT R Combiwtion �PlumCing <br />TYPE Demofiiion � Sign <br />Sprinkler <br />-'l.� � V <br />��tn t�-�:X- <br />��� <br />��'G r l�� �.cz. <br />AdOition I MEATSOURCE <br />��tcralion ! Ecctrlc <br />New �GnS <br />Rapai rR.A ainl. I Oth er <br />CRY OF EVEREIT LOCAL SALES TA% CODE IS 7105 <br />c��s��l���e� <br />NO. I TYPE OF FIXTURE OR iTEM <br />A/C —A/HANDLING tJNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES ORYER <br />RANGE HOOD <br />WATER HEATER <br />METAL FIRFPIACFJSTOVE <br />FIREPtACE INSERT <br />GAS FIREPI, .CE <br />GAS RANGC <br />GAS PIPING <br />exHAus� F�N <br />O7HER e�� 1� P�� u.�-� <br />I IiERL-i3Y CERI i IFY 7HAT I HA�E REAO nN0 �FA4;NED THIS APPUCATIDY A�0 KNCW 7NE SAMc TO BE TRUE AND CORFECT. ALL <br />PfiOVISICNS OF WWS AhD ORIDINACES GOVEFNIMG TNIS TYPE OF WOFK WILL BE COMPLIED WIT71 WHETHER SFEGIFIED MEFiE1N OR <br />NO'i. THE GRi.NTI�G Or A PEf',MIT DCES NOT PRESUASE TO GIVE AUTHORITY TO vIOUTE OR C�NCEL THE Pr70VIS;ON OF AW OTHER <br />STA1'F OH LOCA: LAW RcGUL�,TING CONSTFUCTION OR TNE PERFORMaNCE OF CONSTRUCTION. THAT I AM AUTHOR�2E0 BY THE <br />D'J/�En OF THIS FROPERTY TO f'EPFORti1 TI1E 1YORK FCR \YNICH AFPIICATION IS AtADE AND I COMPIY WITH THE STATE <br />LONT+iAC70R5 LAW 19.27 RCW AMD 2^6.200 Y.'AG. / <br />� �. � an�t,ul � �,v�--- / /�2/ C,� % _ <br />