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Iran: 04/04��007 13:05 N479 P.006/006 <br />,- - PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />�.._. 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />SITE ADDRESS <br />-.`du�i nA S"I til:, f�.V1iKP-fT. WA 9N2Ud <br />OW��ER <br />n'ni nsi.n, Ifri n' <br />PARCEL TAX I.D.tt <br />uu'" i.inonu�°,suo <br />ADDRESS <br />�ao�� <,R s�r si; <br />eVlJih:'1`f, l4'A �xznn <br />— - �CONTACT NAME <br />'.uncln Ilill - -- <br />CONTRACTOR A�DRE55 <br />i ns i wn n�.k nrn�rr�i �oMrnn�v rz��ui i��nu nv�: ni�. <br />Ph1411E_.''r� s>» i �-z i aa <br />F:IItI:1.AND, 14A UNO.l4 <br />PROPOSED USE OF BUILDING Bulltlinp � M�eh�n�ce <br />PERMIT Combin�lion PIum6lnp WORK <br />TVPE D�motlllon Slgn jn'PE <br />WORK DESCRIPTION <br />544? 00 <br />kem�n�c�kepince (ias Watrr ikairr <br />__ W.4TER CLOSET <br />_ ..__ BATM�UB <br />._____ LAVATORY (WASM BASIN) <br />SNOWER <br />_ ^__ KITCHEN SINK 6 DISPOSAL <br />___�_ DiSHyyASHER <br />LAUNDRYTRAV <br />__,_ CLOTHEfi WASHER <br />URINAL <br />____ ORINKING �OUNTAIN <br />._ _ _ FLOOR URAIN <br />____ .. BACKFLOW PREVENTER <br />. _ ___ SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />3r,naa� <br />�V� l, 1 �` � (, i� <br />PHONE <br />(A:5)�7R-IIdS <br />PHONE <br />R00 45J-8955�133 <br />CONTR.LICENSE# <br />I-Ati'I�N'1�'I19.IXIlc �. <br />01'n3,�.'.opR <br />OF EVERETT LOCAL SALES TAJ( COOE <br />MECNANICAL <br />---� . <br />PORCEU AIR SVSTEMS <br />HEAT PUMP <br />UNIT MEATERS <br />CLOTHES DRYER <br />RAPIG6 HOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RAN6E <br />GAS PIPINO <br />EXHAUSTFAN <br />OTHER_____________ <br />1 HFREBV CERTIFV THAT I hiAVE READ ANO EXAMINEO THIS APLICATION AtiD KNG W T/IE SAME TO BE TRUE AND CORRECT ALl <br />PROVISIONS OF LAWS AND ORUINANCES COVERNING'MIS TVPE OF WORK WILL 8E COMPUED WIHT WHE'HER SPECIfIEO HEREIt <br />OR NOT. iHE OMNT1Nli UF A PERMIT DOES NOT PRESUME'O OIVE AUTHURITY TO VIOLATE OR CANCEL 7-IE PROVISION OF ANV <br />OTHER STATE OR LUCAI lAW REOUI H?ING CONSTRUCT104 OR TI!E PERFORMANCE OP CONSTRUCTION. THAT I AMAU7HORI2ED <br />BY THE OW"1Cli OF TNIS PRUPERTY TO PERFORM THE WORK FOR WHICHAPPLICATION IS MADF ANO I COMPLY WiTM THE SiA7E <br />CONTRlK:�ORS �AW �8 7.' NCW /`�4D 298 ?00 WAC. <br />ot OwnodContnctorlAuthorized Apam �_��� ,� ����� _;:f -• D�t� �,��O�U2007 <br />MV�`J�� V �1u�ni <br />