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P..w�I�o3 3D <br /> �ERMIT APPLICA�ON <br /> ��. CITY OF EVERETf PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-f3810 - FAX 425-257-8857 <br /> �/. / r7 �G�'3p / '�JO <br /> 51'I'l AODFESS PARCEL TAX I.D.N � PE7MIT���..� <br /> k O�T++ � � S,c. Lv-r or- f9Z8c� _4-01 -ooas L��'T -�+ c-� <br /> LEGA �LOTNO. � BLOCK TRACT ` ' � <br /> DESC. _s �ry;,��p�JISI� �VO. I��:8=�3� <br /> OWNER AODRE95 21P PMQN[ <br /> wZ� l.are,.v oon RD. <br /> LaF'� �c as { Cr,.sT .%�ac, s�r-iww.r� , WA Z9� 360•-GS2-/9-iS I <br /> TENANTNAME I CONTACT NAME PIIONE <br /> Ti.v� F�ndre-ws "-F2.S-�54-/993 <br /> - � T...-� �sh�.�lsiTf� 4z5- " 5 =1�`�{ -- <br /> CONTRACTOR ,1 !� ADURE89 ZIP �CONTR.LICENSE• <br /> L,�L-sr��F 'qra.tt.i q Coasv:��;��L. y��-� c�•r�"-x+o.� �n. !.._�FcsHc��F`(� <br /> PNONE �.����fl �� <br /> 3�o—c�s�-19�r , 9829z <br /> � PROPO4ED USE OF BUILDINO f"1 Building ("") Mechanical Adtlilion I MEAT SOUHCE <br /> PEAMIT .b{�( Combinetion `� Plumbcig WONM Alteratron Elecu�c <br /> TYP'c �.,./ Demolqlon Ll Sign ITYPE � New I � Gue <br /> S� (c, U Spiinkler Rapeirttdeint. Oiher <br /> CONTRACT PRICE OF WOFK - �.5 �� CITV OF EVERE'T LOCAL SALES TAX CODE IS]105 <br /> � _ <br /> WOHK OEBCRIPTION <br /> N�.-�.� S T" � �c�rJ S I1iLi-L i IbrV / __���� i.,� �.' 1�� y <br />, I PLUMBING MECHANICAL <br /> INO. TYPE OF FIXTURE OR REM NO. TYPE OF Fl7ITURE OR ITEM <br /> WATER CLOSET A/C -lVHANDLING UNITS <br /> BATHTUB � FORCED AIR SYSTEMS <br /> LAVATOFY (WASH BASIN) HEAT PUMP <br /> S. SHOWER UNIT HEATERS <br /> � � KITCHEN SINK 8 OISPOSAL �_ CLOTNFS OFYER <br /> DISHWASHER 1_ RANGE HOOD <br /> � � LAUNDRV TRAY �_ WATER HEATEii <br /> CLOTHES WASHER = _ METAL FIREPLACE'STOVE <br /> �. URINAL - FIREPLACE INSERT <br /> ' y, DFIP�KING FOUN"fAIN QAS FIREPLACE <br /> __�, FLOOR DRAiN _ 6A5 RANOE <br /> � DACKFLOW PFEVENTER �AS PIPING <br /> � SINK (SERVICE/BARIMOP/ETC.) EXHAUST FhN <br /> — OTHER — OTHER <br /> —I — — — — <br /> I HEREBV CERITIFV'HAT I HAVE REAO AND EXAMINED TNIS APPUCA fIOP'ANO KNOW THE SAME TO BE TRUE PND CORRECT ALL <br /> PROVISIONS Of LA1VS 4ND ORIDINACES GOVERNING TSnS TVPE OF WOa<WILL BE CO�1PUEU WITH WHETMER SPEGFIED MEREiN OR I <br /> NOT THE GNANTING OF A PERMIT DOES NOT PRESUIdE fC GIVE AUTHORITY TO':IOIATE QR CANCEL'HE PROVISION Of ANV OTHEF <br /> STATE OR LOCAL LAW FEGULATING CONSTRUCTION OR TME PERFORMANCE OF CONSTFUCTIOW THAT I AM AUTMORILED BV THE i <br /> OWNER OF THIS PROPERTY TO PERfOiiM THF WORK FOR WHICH APPUCATION IS MADE AND I COMPLV WITN 7ME STATE <br /> CONTRACTOiiS LAW 1 27 FaYMfJaZ98 2 � <br /> ���f �__�__, /� ._�/�/ _o�z <br /> S�gnqlurE at OwneuContraclou uthonted At�en� Dela � � <br /> . ' �?J I <br /> _ � <br />