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JAN-18-02 WED 12:5d Pfl � JERETT PERMIT SERVICfS FAX N0, I i 267 BB57 P. 02 <br />�r�'-,�1 PERMIT APPLICATION <br />�',wr"�' „ CITY OF EVERETT PERMIT SERVICES <br />��� 3200 CEDAR STFiEET, EVERETT, WA 98201, A25-257-BB10 <br />SITE A�opESE . <br />�.�.�! I� �J Sl. 5��� <br />l.EOAI LOTNO. BLOCK <br />DESC. <br />UWNER <br />��i��iel STuc T <br />TEN ",NT NAME <br />CONTRACTdR /-1�'r� (;Ai U�1i"��'- <br />PHONE a�; . �,� � � <br />PROPOSED UBE OF BUIL�INO <br />F'ARCEL TAX I.D. t <br />�� r�3 voo <br />52 � 1y�''�-S�' <br />�1 �l ��llft7 .�%C-7vf1RT <br />,AODRESB l] -704 iVf-> Z4�n� <br />tr y3 <br />�iitKl�ni�,G�JA 9y03y <br />PERMIT N <br />N�o����- <br />zs•7U3-i <br />rHOHe <br />CONTR.UCEN98• <br />���Tiou�+o s5�� <br />(j Bulldinp Meehenlcal Aadluon MlAT 50URC8 <br />PERMIT D Combinatbn � Plumbinp WORK � uimtwn � Q�Nrb <br />TYPE Demolillon 61pn TYPE N�w � <br />B 6prinklor �� � <br />CONTRAC7pRICEOFWORK �[/ J$,�I�i CITYOFlVlRfiTIOCALfALEtTAXCOD[1��106 <br />WORK D84CRIPTION %� e.- �'/n � � E/rc 7'�iC� N�'` � ��� C` rC-�� �� rt-� <br />N0. I TYPE OF fl%TUR� OR REM <br />_. v�a7enc�osEr <br />BATI ItUO <br />11�VATORV (WASH BASIN) <br />� SHOWER <br />^ K�TCHEN SINK 6 DISPOSAL <br />^ DISHWASHEfi <br />+�� IAUNDFY TRAY <br />T_ CLOTH[S WASHER <br />�_ URINAL <br />_� DR�NKINO FOUNTAIN <br />_ FLOOF DflAIN <br />,_ BACKFLOW PREVENTER <br />_ SINK (SEHVICE/BARIMOP.�'TC.) <br />� OT11ER _.....„.._� <br />= Ll! . l i'l �f,�(�>>.;�,J r_ <br />NO. � TYP60FFlXTUtiE0R1TEM <br />^ ac - awwouNo uNirs <br />_, FORCEDAIR8Y9TEM9 <br />_ HEAT PUMP <br />" _ UNIT HEATERB <br />_ CLOTHEB DRYER <br />_ RAN6EHOOD <br />� WATER hEA7ER <br />^ MEiALFIREPU10El8TOVE <br />� FIFEPLACE IN6EH7 <br />(iA8 FIREPLACE <br />(iA8 RANOE <br />^ OAS PIPINO <br />_�, EXHAU9T FAN <br />OTHER <br />pI , � c <br />G' $ �- <br />�i <br />I HERF.B� CERITf•Y TMAT I HAVE HF.AD ANO EXAMINED THI6 APPLICATION AND KNOW THE BAME TO BQ TRUE AND CORREOT. N.L <br />PROVISIONS OF UW9 AND ORIDINACES 30VEpNiNO THIS TYPE OF WOHK WILL BE COMPtIED WITH NMETMER 6PECIFIED HEXEIN OR <br />N07. THt ORANTIN6 OF A PERMI l' pOE9 NOT PRESUME TO OIVB AUTNORITY TO VIOl�7E JR OANCEL T11E PROVI610N OF ANY OTHER <br />OTWNEH OP TH 5 Pf10I'ER1�V OTFEA ORM TME WORK FOR WMICH MPLICAT ON�B MMErAkO I Cd+IP Y WfTH T E 6TA� � TME <br />CONTFUCTOR9 L11W 18.27 RCNI AND 288.200 WAO. <br />; , _= 1 «_ <br />z Z -c� � <br />