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OCT-30-01 11:48 FROIFNORTHNEST-C"�IWAR 206-374-0834 T-587 P.U3/03 F-63T <br /> PE`1iMiT APPI.ICATi��v <br /> C:ITY OF EVERETT PERMIT SERViCES <br /> � 3200 CEDAR S7REET, EVERE7T,WA 98201, 425-257-8810 <br /> SITE ADDRESS r+ PARCEL TAX I.D.� PERMIT M <br /> (� �ao � Dr s� o � 9vovo �� nv <br /> LEGAI LOTNO. OLOCK TPACT <br /> DESC. <br /> OWNER I ADORESS i PH�a� <br /> S�ev�e C�o��I� i 6a'�U I � 0r S � _ � u3� . 3�� y � <br /> TENANTNAME CONTACTNAME I ,� 6 PHONE <br /> t� � `�- I Co�o�Pc�e G^� l ���r � a��-- `i�uv <br /> CONTRACTOFi ADDRESS � CONTR,LICENSE N <br /> w �S t o � � ar�v Y7"l�u� icn Au° I UI�SN iEs S 9�c� <br /> PHONEa�6 _ �� - �{`1 U U �a 9�/ �7 % i <br /> PROPOSED USE OF BUILDINCi � Building �Mechanical Addidon HEAT S��nCE <br /> PERMIT ComhinaHon Pl9mbing WORK, (� Rttarotlon Q <br /> S'�� TYpE Domolitian SI n TYPE New QJ�Gas <br /> SprinWer , apetnMalnt 'U Ov+er <br /> CONtRACT PRICE OF WORK \ Q Q Q c CtTV OF EVEFE�i LOCA4 SALLS TAX CODE IS 910s <br /> WORK DESCRIPTION <br /> - ins�-11 ����ac.¢ inrnr-� wf �g0. s P�P�^S <br /> L M81 G MECNANICAL <br /> N0. TYPE OF FIXTURE OR ITEM NO. TYPE OF Fl7CTURE OR ITEM <br /> , WATER CLOSET � A!C-AIHAi\DLING UNITS <br /> � BAl'HTUB _ FORCED A!a SYSTEMS <br /> � LAVATORY(WASH BASiNj _ HEAT PUA1F <br /> , SHOWER _ UNIT HEA7ERS <br /> , KITCHEN SINK 8 DISPOSAL _ CLOTHE�OP,YEP. <br /> __ DISHWASHER _ RANGE HOOD <br /> � LAUNDRY TRAY _ 'WATER HEATER <br /> ` CLOTHES WASHER MEl`AL FIREPLACElSTOVE <br /> � URINAL � FIREPLACE INSER7 <br /> _.., ORINKIN(i FOUN7AIN _ GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> � BACKFLOW PREVEtVTER � GAS PIPING <br /> SINK(SERVICE/BAR/MUP/EiC.) _ EXHAUST FAh <br /> OTHER _ _ OTHER_T � <br /> I MEPEBY CERITIFY TMAT I HAVE READ AND IXAMINED 7HIS APPLICATION AND KNOW TFiE SAME TO BE TRIJE AND CORRECT. ALL <br /> PROVISIONS OF U1WS ANO ORIC�IyACES�OVERNING THIS TYPE OF WORK WILL�E COMPLIED WITH WHEfHER SPECIFIEO HEREIN OR <br /> NOT. TME GRANTIN6 OF A PEA�11T DOES NOT PRESUME TO GIVE AU7HORITY TO VIOLATE OR CANCEI TMB PROVISION OF hNY OTNEH <br /> STATE OR LOCAL lAW REGULA7ING CONSTRUCT70N OR THE PEFiFORMANCE OF CONSTRUCT70N. THAT I AM AUT1i0RIZED BY THE <br /> OWNER OF7MI3 PROPERTY TO 'ERFORM THE WORK FOFi WHICH APPLlCATON IS MADE AN01 COMPLY WITH THE 3TATE <br /> CONTRACTORS lAW 18.27 flCW AND 296.200 WAC. <br /> ����''' .>/'s/�/ <br /> Signe OwneUContraaod,luthori�d-►,gent —�—Z <br />