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10/29/2002 08:22 3609452091 <br />r`__ l <br />NWPERMIT <br />PAGE 02 <br />PERMIT APPLICATION <br />OL CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 9S20'! <br />426-2674810 - FAX 425-257.8867 <br />SITE ADDItES3 r�r31 S 3RD AVE PARCEL TAX I.D. 0 <br />D050=3200000 <br />ULA <br />HUGH KUYPER <br />BLOCK <br />5531 S 3RD AVE <br />98203 <br />425.250 3402 <br />TENANT NAME CONRAUT NAM� ln� <br />FRANCIS LENZI 206 2824700 <br />CONTRACi°n WESCO ADOMM HP 00NT1L ucsmw a <br />2800 THORNDYKE AVE W 96199 WASHIES9WCW <br />PHORE 206 282 4700 <br />PROPOSED USE OF ButLiNG -1 <br />BUIIAIRQ X) M•chEnksl <br />Du <br />A&Ntbn <br />HEAT�� <br />P[RMT <br />COmbinAtion [ 1 Plumbing <br />J�ORK <br />K. AlbrMbn <br />Elw= <br />TYPE <br />L.1 D/naliYon [�j Sir <br />(K <br />Nw <br />{:y Ow <br />Ll 4mw <br />IIIJJJ SprtrdJa <br />r <br />RemAhli t <br />CONTRACT PECK OP WORK 3930.00 <br />a" OF E'VERDif LOCAL SALFA TAX CODS 16 5106 <br />WORK DESCRV71oN <br />ELEC TO GAS 90 MDTU FURNACE CHANGE OUT, PIPING 1.0' URNACE <br />PLUMBING <br />NO. TYPO OF FIXTURE OII ITLM <br />MEC L <br />ND. TYPE OF P=uRE OR Rim <br />WATER CL03ET <br />BATHTUB <br />LAVATUKY (WASH BASIN) <br />SHOWER <br />IOTCME14 SINK S DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN - <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE(BANIAOPIETC.) <br />OTHER <br />-� <br />._ <br />_.. <br />_ <br />__ <br />i <br />_— <br />A/C-MHANDUNG UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />METAL FTREPLACFISTOVE <br />FIREPLACE INSERT <br />GAB FIA&PIACE <br />GAB RANGE <br />GAS PIPING <br />EXHAUST FAN <br />_ <br />_ <br />_ <br />_ <br />I HEREBY CERTIFY THAT I HAVE PEAO AND EXAMINED THIS APPUCATION AND KNOW THE SAME TO BE TRUE AM CORRECT. ALL <br />PRONSIONS OF LAWS AND ORIDINACES GOVERNING THtB TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN ON <br />NOT. I HE GRANTING OF A PERMIT DOES NOT PRESUME TO ONE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REOU'ATINO CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AWHORIZED BY THE <br />CWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPUCATION IS MADE AND I COMPLY WITH THE STATE <br />,L{�CONTFUL /y//�' 1037 R� 300/y�AO <br />Qf,(i � 10/29/02 <br />rnWn 'De0�— <br />