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SEP-20-01 15:31 FRON�NORTIIAEST-�"'IN1R 206-7T�-OB34 �, T-2B6 P.01/01 F-158 <br />,__.�� <br />PERMIT APPLICATION <br />���, CITY OF EVERETT PERMIT SERVICES <br />32C0 CEDAR STREET, EVERETT, WA 98201, 425-257-88i0 <br />SrTE ADORESS <br />UC�:er <br />oesc. � <br />OWNEF <br />�.o���� � <br />TENANT NAM! <br />CONTRACTOR . � � C O <br />W <br />PARCEL TAX I.D. It <br />� 00$ � S OCv�{c� <br />�u►cr <br />i �DOREBS <br />' 3�r�o 2�.��cr ►4�t <br />CONTACTNAME <br />PHONE�O�o ' `1 Q 1- � �'� �tS O <br />ppOPOBED USE OF BUILDIN�i <br />PERMR <br />s r� rne <br />CONTRACT PRIC6 OF WORK <br />WORK DESCRIPTION <br />NO. I TVP! Of R)CiUR[ OR REM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BA7iIN) <br />SHOWER <br />KITCHEN SINK 3 DISPOSAL <br />DISNWASMER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />6ACKFLOW PREVENiFR <br />SINK (SERVICE/BAR/�10P/ETC.) <br />OTNER _ <br />PERMIT N <br />YND� OQ-OI <br />3 ` <br />,-6 6� <br />PNONE <br />E..anoljt� (rio..l,l Q�,K�' ! 2e 6 -J$A ��I �vv <br />ADDRES9 rCONTR. LICENBE � <br />a e�oo � ko r�d� � r��e �,,ArN�Es�� <br />��� 9Gi 4 9 <br />BBuilding 1 � Aadition HRJ1T SOURC! <br />Combination Plumbing WORK I� NmreHan � Qactnc <br />BDamolitlon Sign TYPE I N�w Oa+ <br />Sprinklar RpiiqMll�t Oarr <br />GTY OF NERETT LOCwL BALl3 TAX CODi q�t0i <br />NO. I IYPE OF FlX?URE OR ITEM <br />A!C —A/HANDLING UNITS <br />FORCED AIFl SYS7EM3 <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANpEH00D <br />WATER HEATER <br />METAL FI9EPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPL�.CE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />I NEFEBY CERITIFY T11AT I HA��E REAC AND DUMINED THIS APPLICATION ANO KNOW THE SnME 70 BE TRtJE ANO CORFECT. ALL <br />PROVISIONS OF UWS AND OFIIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED VVITM WNETHER SPECIFIED HEREIN OR <br />NOT. TME GRANTING OF A PE�AMIT DOES NOT PpESUME TO GIVE AUTNORITY TO VIOUTE OR CANCEL THE PqOVIStON OF RNY OTNER <br />STATE Oii LOCAL LAW REGUL\TING CONSTRUCTION Ofi THE PERfORMANCE OF CONSTAUCTION. TMAT � AM AUTMOR2fD BY THE <br />GWNER OF THIS PROPERTY T� PERFORM TME W6RK FOR WHICM APPUCATION IS MAOE ��i 7D I COMPLY WITH THE STATE <br />CONTRACTORS UW i8S) RCN AND 2�6,200 WAC. <br />'/'�`_� ----� ��.'f 2%-o I' <br />