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JAN-16-02 WED 12158 PM K 'TT PERMIT SERVICES FAX NO. 425 ^57 BB57 <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />9200 CEDAR STREET, EVERETT, WA 98201. 425-257-8610 <br />SITE L?o /�rfI <br />DESC. I I <br />OWNER <br />a) A h<g <br />TENANT NAME <br />CONTRACTOR <br />WRi l`' #&Vr, <br />PHONE�1/��� <br />PROPOSED USE OF BUILDING <br />( <br />-scr .Q, 4r1INULY <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPTION <br />NO. I TYPE OF FIXTURE OR REM <br />PERMIT <br />TYPE <br />WATER CLOSET <br />BATI ITUD <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY ' <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />_ FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICEIBAR/MOP/ETC.) <br />PARCEL TAX I.D.Ii <br />ADDRESS <br />f , / � <br />Wj <br />PERMIT ti <br />MoZll-��� <br />O 4-l.3 O <br />G/a 5 )rn�nc <br />CONTACT NAME !/ <br />DDRESS CONTR.LICENSE 0 <br />w� /a�sTc�3 j�GT/ocJl7�Ss <br />Building Mechanical Addition HEAT SOURCE <br />nlactrld <br />[] Combination ---'Mechanical <br />WORK Alteration <br />lUj Sin TYPE New Gas <br />Demolition y Re <br />irlMaini. Diller <br />Sprinkler <br />CITY OF EVERETT <br />SALES TAX CODE iS 310.' <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C - AIHANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE FIOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER�— <br />�- <br />I HERESY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW 7HF. SAME 70 BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE GOMPUEO WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE STATE OR GRANTING OF A <br />W REGUATING CONSTRUCTION OR THE PGIVER <br />ESUME TO E NCE OF CONSTRURITY TO VIOLATE CTION. ON. THACANCEL T 1 AM AUTHORIZED E PROVISION OF ABY OTHER <br />OWNEROr <br />THIS <br />IPnOACK ER RCW AND 962 � E WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />