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JAN-16-02 WED 12�58 PH F( '.ETT PERflIT SERVICES FAi+ N0. 4� ?57 8857 <br />- PERMIT APPLICATION <br />�/w�� CITY OF EVER�TT PERMIT SERVICES <br />3200 CEDAA STREET, EVERETT, WA 98201, �125-25i-6610 <br />SITE <br />DESC. � <br />OWNER <br />�o/� � `Ca� <br />TENANTNAME <br />��� <br />CoNTR� �'C� ���� � <br />PHONE�i��� �.�q- �� �$ <br />PROPOSEO IJSE OF BUILOINO <br />CONTRACT PRICE OF WORK <br />PERMR <br />TYPE <br />pARCEL TAX I.D, t <br />�9� 8�� 3aoo/ <br />�� � ��Mo�e A�� <br />CONTACTNAME <br />,' 1 r� <br />PERMIT�j� +� <br />ii�T �i <br />�HON! � <br />J�D � � <br />PMONE <br />A�DRESB COHTN. LICENSE • <br />�s�/�,?"/�� ,v,� i����Y A�n���as� <br />ajC 12K/-�/JO a.� <br />9uilding echenlcal on MlATSOURC! <br />Combinatbn�lumbiny WORK u�on� ��� <br />Demolillon Sipn rrve Nrw �'F����� <br />Sprinklrtr acpetdMaha. 4J otlw <br />U <br />qTY Of lYEAfTT LOCAL BALEB TAX COD[ 1! �106 <br />WORKDESCRIPTION � n / ^i ���-�_�' <br />�� /-�'/ ��.��i7'�' 6 --� �, /9- S � i � .� <br />v <br />N0. I TYPE QF Fl%YURE OR ITEM <br />� WATER CL09Ei <br />BATI ITU[� <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHeN SINK 6 DISPOSAL. <br />� DISHWASti[ii <br />_ IAUNDRY TRItY <br />„__ CLOTHES WASHER <br />���I�:AL <br />, ORINKING FOUNTAIN <br />_ FLJOR DfiAIN <br />_ BACKFLOW PREVENT6R <br />__ SiNK (SERVICE/6AWMOPlEI'C.) <br />_� OTIIEFI_�........._.^_ <br />� <br />N0. � TYP80FFlICTUREOXITEM <br />A/C - NHANDUNO UNITS <br />FORCED AIR SY97EM9 <br />HEATPUMP <br />UNIT HEATER9 <br />CLOTHES ORYER <br />RANGEHOOD <br />WATER HEATEH <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSEH`f <br />GAS FIREPUCE <br />OAS RAN(iE <br />C,AS PIPINO <br />EXHAUSTFAN <br />OTHE� <br />I HEPF.BV �ERITIf•Y THAT I HAVE PFAO PND EXI�MINEO 1H15 APPLICATION AND KNOW THE SAME TO BE TRUE AND CORREOT. A4l <br />pROVI510NS OF UWS AND ORIDINACES GOVEIiNIN� THIS NPE OF WOHK W�LL BE COMPLIED WITH WMETMER 6PECIFIEO HEREIN OR <br />NOT. THE GRANTING OF A PEftMIT pOES NOT PRESUMe TO �NE AUTHOai71' 70 VIOLATE OR CANCEL THE PAOVISION OF ANV OTHER <br />OWNEHOFn+Is�norERTYTOTF'ERFORMTNEWORKFORN?1ICH?PLCATIONRSOIMDEANDIca.�a vwrt�t+ire�i�nl�nevTME <br />CONTMCTOPS UW t 8.27 RCW AND 2B6.2W WAC. <br />� <br />