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JAN-18-02 WED 12.58 PM (:RETT PERMIT SERVICES FAX N0, 4 257 8857 <br />- PERMIT APPLICATION <br />�,. CITY OF E�VERETT P�RMIT SERViCES <br />3200 CEDAR S7RE�1', EVERE7T, WA 96201, A25-257-8810 <br />51TE A�ORESS <br />; C� 2-I sS 1 cl P� l,tJ <br />DESC.� I <br />OWNEfl <br />�1Z�i,1'l, l,U ��Svv� <br />TENANTNRM@ <br />cuni,nA��.�n,i �., ;.ivii�AE ;"CIAL CENTE <br />PHONE 1��-iC�''�� i_��thSTa43 <br />� n k1Ll3A_ <br />pROPOSE� IISE OF BUILDING <br />PERMIT <br />TYPE <br />PARCEL TAX I.D. ! <br />�� 7 l U �c�cxz'z� �z�no <br />Taacr <br />ADDRESS <br />1021 S 19 "' P�. ��� -� <br />CGNTACT NAMC <br />l��u C-� <br />AODRESS <br />� �. <br />3—��i—o <br />PERMI7 it <br />PHONB <br />PHONE <br />�2 S �iZLi- �'� <br />CONTR. LICENSE Y <br />I�C ilU�ell{D ��5� P <br />Building � Mechsnlcal Atldwon MEAT SOURCe <br />CombinaUon Plumbfng WORK �atoratbn � Eleculo <br />Domolilion Sign 'fYPe New 6+s <br />Spdnkle� RepeliRd.vnt Olhcr <br />CONTRACTPRIC@OFWORK ,� �G,C(�,�� CITYOFEVERflTTLOCAL6ALESTAXCODEISSIOS <br />WORK DESCRIPTION �_QiVv�C3"U-l' 4- Z�-(� �li L C C �r C'� i'� l L �+�Z ��1CL�fi1�-L <br />1�(CC{t' �: �,{� � �� �p <br />-�+f' % <br />J �- <br />N0. I TYPE OF FI%TURE OR REM <br />WA7ER CIOSEf <br />BATI ITU[t <br />LAVATORY (WASH BASIN) <br />^ SHOWEfl <br />� !ITCHEN SINK 6 DISPOSAL. <br />_,..,,_ �ISHWASHf_'R <br />� IAUNDFiY-fRRY <br />� CLOTHES WASHER <br />,� URINAL <br />_„ DRINKIhG FOUNTAIN <br />FLOOR DftAIN <br />� 9ACKFLOW PREVENTER <br />_ SINK (SERVICFIDAR/h10pl�T�,} <br />___ OTNEFl___.,...M_�_. <br />N0. � TYPE OF FIXTURE OR Il'EM <br />^ ac-awwouNc uNirs <br />�, FORCED AIR 5Y9TERi8 <br />HEAT PUMP <br />" _ UNIT HEATER3 <br />_ CLOTHE& �RYER <br />pANGEH00D <br />�jL WA7ER HEA7EF <br />_ ME7AL FIREPLACE/STOVE <br />� FIREPLACE IN6ER7 <br />GAS FIREPLACE <br />GAS RANGE <br />� GAS PIPING <br />�, EXHAUST FAN <br />OTHER <br />� <br />I HEflF.BV CERITIf•Y THAT 1 hIAVE FFAD ANO E7CAA11NE0 THIS MPLICA710N AND KNOW THE SAME TO BE TPUE AND CORFEQT. Al�. <br />pFOVi510N5 OF L4WS AN� ORIDINACES GOVERNIN� THIS TYPE OF WOHK WILL BE COMPLIED WITH WHEfHEft 6PECIFIED MERFJN OR <br />NOT. THE GRANTING OF A PEHMIT pUES NOT PAESUME TO 61VE AUTHORITY TO VIOLATE OR CANCEL 7HE PROVISION OF ANY OTHER <br />SiATC OR LOCAL LAW REGULATING CONSTftUrTION OR 7FiE pERFOR!v1ANCE OF CONSTRl1CTION, THAT I AM AU7HORI2ED BY THE <br />OWNEH OF THlS Pf10f'ERTY TD PERFOFM THF_ WORK FOR WHICH APPLICATION IS MADE AND I COMPLV WRH THE STATE <br />CONTRACTORS UW 1R,27 RCW ANU 286.200'NAO. . <br />