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JP.N-18-02 WED 12;58 Ptl .VERETT PERHIT SERVICES FAX N0, � 257 8857 <br />- PERMIT APPLICATION <br />�/,w��'_". CITY OF �VERETT P�RM1T SERVICES <br />3200 CEDAR STREET, EVERETi, WA 98201, A25-257-8910 <br />p�DRESS <br />DESC. <br />%��� u,4 L`j� I/? D 5 DD� CGL <br />ADD :ESS <br />1�1 U �l(U � %l�a ��n �lE( �U.'x� 5. <br />TENANTNAMG CON7pCTNAME <br />�)�11�� Sc'C�AJ11 �N _�, , ,_ .. . „ <br />CONTRACTOR T,�: -��; C!;�'.;IUc *�CIA C�� <br />4z� �;�•; . 1�%tthS q43 <br />PHONEyz��. S�s4.5'' � � � r�. W. <br />P, 02 <br />PERMI7 ii <br />M ���( � <br />G u(�LQ� PHONE <br />�" -�Q-G� � �2 0 3 �12� 3�3-Z7 7U <br />PHONE <br />[{2s -s's��--`ssk,i' <br />CONTR. UCEN98 � <br />d[` iIU tc:NO$S�P <br />pAOPOSE011SE OF 9UII.OINC; I(� pylldinp � 1Aechenical Atlduion HEAT SOURCE <br />PERMIT rs Combinatlon Plumbinp WORK �atorauon D Elec�rb <br />TYPE �� DemNillon Sign 7YPE New �� Gae <br />U Spdnklof RepelrlMaint u OU1ot <br />CONTRAC7 PRICE OF WORK .� //v I•% <br />CITY OF EVCAHiT LOCAL 6ALE$ TAX CO�E IS 3105 <br />WORKDESCRIPTION ��7�1.OL� � ���_r�I�CC�^ �� /i—S (,t�Cl�+�� /��'ct��( <br />NO. � TYPE OF FIXTURE OR ITEM <br />WA7ER ClOStT <br />BATIITU(i <br />LAVATOFY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAL1NDflY TRAY <br />CLOTHES WASNEFt <br />URIN/�L <br />DRINKING FOUNTAIN <br />fL00R DRAIN <br />yACKFLOW PREV�NTER <br />SINK (SEfiVICE/BAWMOPlE'fC.) <br />OT11ER _,,...�_.__ <br />N0. � TYP6 OF FlXTURE OF ITEM <br />_ A/C—A/HANDLINGUNITS <br />_, FORCEDAIR9Y9TEM9 <br />_ HEATPUMP <br />°' _ UNIT HEATER9 <br />_ CLOTHE6 DRYER <br />.,�HANGEHOOD <br />' WATER HEAT�R <br />,_ METAL FIREPLACFJSTOVE <br />, FIFEPLACE IN6ER7 <br />(iA9 FIREPLACE <br />6AS RANGE <br />_ GAS PIPINO <br />,�, EXHAU9T FAN <br />OTHER <br />I MERF.B� CERITIFY TMAT I HAVE RFAO AND IXA611NE0 THIS APPLIGA710N AND HNOW TN6 SAME TO B2 TRUE AND CORREOT. A4l <br />PFOVISICNS OF LAWS AND OFUDINACES OOVERNIN� THIS NPE OF WOHK WILL OE COMPLIED WITH WIIETMER 6PECIFIED HEREIN OR <br />I:OT. THt GRANTING OF A PERMIi pOL�S NOT PRESUME TO OIVE AUTNORI7Y 70 VIOI.ATE OR CANCEL TNE PROVISION OF ANY OTHER <br />57ATC• OR LOCAL UW f7EGUlATINO CONSTflUCT10N OR THE PEAFORMANCe OP CONSTRUCTION. TNAT I AM AVTHORIZED IN THE <br />011'NEN OP TMIS Pf10PEFTY TO PERFORM THE \VORK FOR WMICH APPLICATION 19 MADE AND I COMPLY WfTH THE bTATE <br />CCNTMCTORS UVY 1027 RCW AND 2B62U7 WAO. . <br />