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IMY-01-02 16:05 FRON-NORTHWEST 'SSIIMR 206-374-0834� T-B6B <br />� P�RMIT APPLICATIZ�N j <br />� CITY OF EVERETT PERMIT SERVICES� <br />' 3200 CHDAR STREET, EVERETT, WA 96201, 42b-2�7-881 Q� <br />: C� G52 I �^L . <br />TEMANT NAI IE <br />COrfl'RACT R <br />� (tiE S c c� <br />PHQNB vU � �a W �Q,� <br />T11X j.C/N <br />1 Y��� <br />..�����, ,� S� <br />L�r �1�-"1 �1 <br />CONTACT NAME <br />�-�ANDic� c�u..r�►�-�� <br />I ADDRESS <br />�.g-w �az,uAy�� �� v;� <br />�'btKt' Ul V1 � F 1 �t � <br />PROPOSED 8E OF BUILDI�O Bullding �echenlcal Ad�IU <br />, PHRM17 Combinetion Plumbing WORK AIt ra <br />� TYPE DemollUon Slgn TYPE <br />, • Spdnkler P <br />COjrTRACT RICE OF WOpN; �j 50 ,� CtTv oF �v�Rerr GOCA � <br />OAK�ES IPTION L.�'��''' `� `�'�'�° ��` � <br />; � ��.�4�.Q�1 � G�d.� l,�e �t �/ �� ..� � ; <br />, i <br />NO.i TY OF FI%TURE OR �TEM <br />`' WATE CLO&ET ^ <br />� BATH B <br />.= LAVA RV (WA&H BAfIIN) <br />_ 3HOW R <br />,� KITCH N SINK 8 DISPUSAL <br />� DISH SHER <br />! U1UN RY TRAY <br />._ CIOT ES WASH�R <br />� URINA <br />^ DRINK NQ FOUNTAIN <br />^. FL00 ORAIN <br />� BACK LOW PREVEKSEiR <br />_ 81NK ( ERViCE/BAR/MI)P/E <br />N0. 1 TYPE OF FIXTUqE <br />P.02/02 F-7T7 <br />PERMiT M <br />A/C—A/HANGLINOU IT <br />� FORCED AIR:SYSTE S <br />_ HEA7 PUMW <br />� UNIT HEATEFI3 <br />� CLQ7HES DRYER � <br />RANGE HOOD <br />= WATER HEATER � <br />_ METAL FIREPLACE/SIfP�IE <br />^ FIREPLACE INSER7 I I <br />_ GAS FIREPLACE � <br />,_,.._ GAS RANOE { � <br />_ GAS PIPING � <br />�, EXHAUST FAN . � <br />_ OTHER,��T <br />Y <br />I HEREBV CER TIFY THAT 1 HAVE READ AND EXAMINED THI6 APPLICATION AND KNOW THE SAME TO BE <br />P�OVI810N& F LAWS ANO Oflt[IIhACER GOVEFNING THIS TYPE OF WORK WIIL 9E COMPLIEO WITH WF <br />NOT: THE �R NT1NG OF A PER��IT DOE6 NOT PRESUME TO OIVE AUTHORIN TO VIOLATE OR CANCEL' <br />8T TE OR L AL LAW REQULAI IN0 CQN&TAUC770N OR THE PERFORMANCE OF CONBTRUCi10N. THA <br />OW1JER Of 5 PROPBRTV TO �ERFORM 7NE WORK FOR WHICH APPUCATION IS MADE AND 1 GOMpI,I <br />CO1�1TRA _ tAW.1�27 RCVJ AND.18�0 WAC. /� _ <br />3� ln <br />LICENSE M <br />� 5Ay o cu) <br />HEATSOURCE <br />�p�clrtc <br />Gos <br />011ler <br />TAX COOE 16 J105 <br />AND CORRECT, AL� <br />R SPECIFIE� HEREIN OR <br />;OVIBION OF ANY OTTIER <br />AUTHORI260 8Y THE <br />THE 8TATfi <br />