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JAN-10-02 20:21 <br />FROIF�NORTHNEST�'SIINR 206-374-083d �� T-13T P.01/0? F•513 <br />PERMIT APPLICATION <br />CITY OF EVERETT t�ERM1T SERVlCES <br />;3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />SI7E ADDiiESS F, <br />az �� � �� s� <br />LEfiAL 40T NO. BLO <br />DESC. <br />OWNER <br />��,�.It� P�,>_ybc� <br />TENANT NAME <br />CONTRACTOR � � S C D <br />PHONE �ti(0 � k� c%-��'� <br />PROPOSED USE OF OU�LOING <br />CpNTppCT PRICE OF WORK <br />WORK DESCRIPTION <br />P� �pla � <br />1 <br />PARCEL TA1( I.D. � <br />Oo7�t6�p� <br />oZ � � <br />CONTAC7 NAME <br />C.tANDIC� GRtitt <br />PERMIT N <br />t Ov M oao� <br />s� <br />ppppESS <br />�$�,� 7�,,uA�x� �? l�3 <br />SE�a�� wN ��«� <br />CONTR. LICENSE I <br />Wf�'S�4 tE Sa►`1 o GcJ <br />Buildinq ��ha"�� Addition HEAT SQURCI: <br />PEpMR Combinatio� Plumhing WORK ataration [Z �c <br />TYPE Damofitlon Sign TY'PE Naw /Maint. Ul� <br />Spdnklar <br />CfTY OF EYEqETT LOCAL SALES TAX CODE 19 �1 OS <br />,�.o ,��.�u r�Y� Zi ri�� �c�I w��ev�t <br />N0. I TY?E OF FlXTURE C R REM <br />WATER CLOSET <br />9ATHTUB <br />�JIVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN ��NK 3 DISI�OSAI <br />DISHWA8NER <br />�AUNDflY TRAY <br />CLOTNES WASHEr� <br />URINAL <br />DFi1NKING FOUNTAI�i <br />fL00R DRAIN <br />BP.CKFLOW PREVEKLER <br />SINK (SERVICE/BARAv10P/ETC.) <br />OTHEFI � <br />�.�----� <br />NO. I 'ryP& �F FIXTURE OR ITLM <br />AIC -A/HANOUNG UNITS <br />^ FORCED AIR SYSTEMS <br />HEAT PUMP <br />� UNIT HEATERS <br />- CL07NES ORYER <br />� RANGEHOOO <br />� WATER HEATER <br />METAL FIREPLACEJSTOVE <br />� FIREPIACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />_ OTHER <br />—� --- <br />I MERESY CERITIFV TNAT I HAJE READ ANO EXAMINED THIE APPUCATON AND KNCW THE SAMfi TO BE TRUE ANO CORqECY. <br />PAOVI310N5 OF LAWB AND ONIDINACES 60VERNINO 7MI5 TVPE OF WORK WILL BE COMPLIED WITH WHE7HfiR SPEC�FIEO MEREIN OR <br />5TTE OR GOCALILAW CGUeATING CONSTRUCTION OR TME ERRORMAN t OR CONSTAUCT O� TMn71 AM AUTMORIZEO ByYT11E !R <br />OWNER Of THIS PROPER71' TO P�RFORM THE WORK POR WHICM APPL�CATION IS MADfl AND I COMPIY 1N�TM TM� �ATE <br />CON7pr,Cjpp&tAMk�27 RCW nND 1 WAC. - <br />1 % �I..I <br />