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JAN-16-02 WED 12�58 PM :KETT PERMIT SERVICES FRS N0, � i7 8857 P, 02 <br /> - PERMIT APPUCATION <br /> CI7Y OF �VERETT P�RNiIT SERVICES <br /> 3200 CEDAR S7AEET, EVERETT,WA 982Di, A25-257-8810 3 �o� _07 <br /> S1TE Ao�RESS PARCEL TAX I.D.� PEFNIT A <br /> � �� Ir l�i�il . S � � �1 �os � �nDyc�c%vocl ;��1 -10 ;> - ii <br /> I..EqAL L07N0. BLOCK 7RACT � <br /> DESC. <br /> OWNER ADDRESS IPHONE <br /> � L'ST/�� �L=�%��l(- � ��� � � �� � <br /> CONT,9CT N ME PHONE <br /> TENANT NAh1E �. <br /> �) MCP(� �l � S � ���� L ' �zs - �-�_�'c�=z <br /> � Tc n , ; CONTR.LICEN9E/ <br /> Cq�JTR'ACfORi..� . � =.� �� ON LY f� � A�DRESS <br /> /]l' r1C'l<'llG S�l�t� <br /> -r�,�T���i CO��i�;SEi;CIALCENTE L/ �> � 'C" � �,�/�/ <br /> aHorie �?i(,'s ,' �;;� 1�-ith ST p 43 ; � <br /> � ulldin Mechenical Atltl�non HEAT SOURCL <br /> pROPOSED USE OF BUI '0 �� S, 9 ' <br /> PER611T R�-( Combination � Plumbing WORK � A��om�� Q Eleculo <br /> TypE �-( Demolillon U Sign TYPe New E9 Gas <br /> U Spfinklef RepaidMainL �.,) 0(hat <br /> CONTRAC7 PHICE OF WORK CITY OF EVEAETT LOCAL 6ALE5 TAX CODE IS 5105 <br /> WORKDflSCRIPTION �� �IGCIC � - 11 '� {,G�'� Ll'�L�� �=� I�C2���1 (�Cl�- ��� <br /> -�� , . . L.�` �'Ci � U+(CjS. <br /> + I <br /> I I'�U!r1FfL'ia b�F&i-Ad1GAL <br />� N0. IYPE OF FIX7URE OR REM N0. iYPE OF FIXTUR[OA fTEM _. <br /> WATkIiCLOSET ._ A!C-NHANDLINGUNITS <br /> � BATiiTUEt � FORCED AIR SY9TEM9 <br /> IAVATORY (WASH BASIN) N _ HEAT PUMP <br /> SHOWER _ UNIT HEATER9 <br /> ^ KITCHEN SINK&DISF�OSAL _ CLOTHE6 DRYER <br /> ^ �ISHWASHEA RANGE HOOD <br /> +"� LAUNDRYTR.4Y � WATERHEATER <br /> ^ CLOTHES WASHER � METAL FIREpLACE/STOVE . <br /> � UPINAL � FIREPLACE INSER7 <br /> ^ �RINKING FOUNTAW _ GAS FIREPLACE <br /> ! FLOOR Df1AIN ,_ GAS RANGE <br /> 6ACKFLOW PFEV�NTBR _^ GAS PlPING <br /> ^ SINK(SERVICFJ6AfilMOpI�TC.} ,_._. EaHAUST FAN <br /> ' OTIIER___,......__�_ _ OTHER <br /> I MERFBY CERITIf•Y THAT I hIAVE ftFAO ANO EXAMINEO THIS APPLIGATION AND KNOW THE$AME 70 BE TRUE pND CORRECT. ALL <br /> pROVI510N50F LAWS AND ORIDINACES GOVEflNIN�THIS TYPE OF WOHK WILL BE COMPLIED WITH WHEfHER 6PECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT pOES NOT PrIESIJME TO GIVE AUTNOFI7Y TO VIOIATE 0R CANCEL THE PROVISION OF ANY OTHER <br /> OWNEH OF TH 5 PfiDf'ERTY TOTPERFORM THE W RK FOR WHICH APPL CAT ONFS�MADE AND I COMPLY W�THE 67ATE �THE <br /> CONTR�CTORS IAW 1827 RCW AND 256.200 WAC. � � � <br /> . ; _2�� 7�'�� 7 <br /> ,:%_ �_ , <br /> � � ; _� �� <br /> Signaturo o�Ow�cr/ContractorlAuthorizor��A�ent pa10 <br />