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JAN-16-02 WED 12�58 Pn EU� 'TT PERMIT SERVICES FAX N0� 425trr7 �B� �' ����� � <br />"-'� PERMIT APPLICATION w <br />FEB 0 8 2002 <br />CITY OF EVERETT PERMIT SERVICES <br />�-- 3200 CEDAR STFiEET, EVERETT, WA 96201, �125-257-8810 ....... ._.. . .. <br />_ CITY�OFP e�cSRrv�es <br />SITE Ao�RESS <br />DESC� <br />OWNER <br />NAM6 <br />� <br />PAFCEL TAX I.D. � <br />CONTACTNAME <br />PERMR N <br />� Gi�c� "0% a— <br />HONE <br />Z�-,s�-�oc�, <br />PMONE <br />• .�.. ,�n � n <br />CONTRACTOq i A6DRESS CONTq,LICENSE/ <br />�C �� w� lti a ie.✓ it a� w5 f�.� ��� hc I 12 �� y►�� I L y�'' ST#�l 3 <br />PHONe � Z�_` -.c,- �;' �? � �,�rk�-�,�. � A `�80 ��� dcT.7�ewHo��ti�(' <br />.—__ , <br />PROPOSE� USE oF BUILDINO fl Bulltlin � Mechenlcal <br />� j ) AaOaion HEAT SOURCB <br />PERAf T f� Combination Piumbing WQpK f 5�umrauon [� Eleurlo <br />TYPE � Demolilion Sign TYpE I� Nrr� RGs= <br />_ Sprinkler � RepnidAleinl. L� p�� <br />CUNTRACT pHICE OF WORK -��' �� �_, u Clri �F EVERflT LOCp� 6ALE6 TAX CODE 18 ft06 <br />WUHK DESCRIPTION <br />��Q.'�l�L'�. � t�-� �'.�'�P/y 1 `eol1G✓ <br />NO• � TYPE OF FIX7URE OR REM <br />__ WA7E(I CLOSET <br />_ BATIITUtI <br />_ LAVATORY(WASH BASIN) <br />SHOWER <br />_ KITCHFN SINK 8 UISf-'OSAL <br />_, DISHVlASI1ER <br />_� LAUNORY TRAY <br />.,,_ CLO7HES WASHER <br />�_ UHIN�L <br />__� �RINIQNG FOUNTAIN <br />i FLOOii DpAIN <br />_ BACKFLGW PREV�N7GR <br />__ SIkK (SEqVICE/DAF�lA1Jp/fiTC.} <br />__ OTI1Elii_ <br />N0. I 'fYpE OF FIXTURE OR ITEM <br />/v� – A/MANDLINO UNITS <br />FORCED AIR SY9TEMS <br />HEATPUMP <br />UNIT HEATER3 <br />C�OTHES DRYER <br />RANGE H�OD <br />WATEH HEATER <br />METAL FIqEPLACElSTOVE <br />FIREPLACE INSER7 <br />GAS FIREPIACE <br />GASRANG[ <br />GAS PIPING <br />�XHAUSTFAN <br />OTHER <br />I MEfiF.BY CGR�TIfY TNhT I HAVE FF.AD AND EXAtdINED THIS.IPPLICATION AND KNOW THE $AME TO BETRUE AND CORRECT. A44 <br />PFOVISIOIJS OF IAWS AND ORICINACES GOVEHNIhG TIIIS iYPc OF WOHK WILL BE COMPLIED WITH WHERIER 6PECIFIED MEFFJN OR <br />NOT. TFIH UFANTING OF A PFRMIi OOES NOT PRESUME TO GIVE AUTNORIiY TO VIOIATE OR CANCEl7HE PROVISION OF ANY OTHEfl <br />STATL' GR l OCAL (.AtV RCGUI_4TING CONSTRUCTION DR THE PERFOFMANCE pF CONSTRUCTION. THAT I AM AUTHORREp 8Y THE <br />OViP:F.H C� TMIS PIIOPEfiTY TO PERFOFM THE WORK FOfi WHICH APpLICATION 13 MADE AND 1 COMPLY WITH THE STATE <br />COiJ i Fj.1CT0(i5 U 16. W AND 286.20J WAC. <br />_ ��'-�':--r � y11 �� _ 2%��az <br />., � <br />