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Sent 0y: HP LaserJet 3100; 4258249516; Ncv�B�'.`. ' �:t1P�� Page 2/2 <br /> PERMIT APPLICATION �� <br /> �i,��� CITY OF EVERETT PERMIT SERVICES <br /> F 3200 CEDAR STREET, EVERETT, WA 98201 , 425-257-8810 i i�,,�ns <br /> SITE AODRE99 PARCEL TAX 1.0.1� PERMITN <br /> 206 IU9 ST 5E,F.Vk:Kt77. WA y8?OR OOG�ASOOOO� SUO ' �- _ � ) �J <br /> L GAL LOT N�. BLOCK TRACT <br /> -� � PMONE <br /> GWNER ADDRESS <br /> 2oe iue sT�ic �a?sn.�,.,';, <br /> HUT AIOhRG.RUFI. . �V�KLTT. N'A 9R20tl <br /> TENANTNAME CONTACTNAME PHONE <br /> PAIILLA HILL 425 81J�1 I2•1 tl i3 <br /> CONTRACTOR � ADDRESS CONTR.LICENSEM <br /> FAtifW'ATNRHEAfERCUMi'ANY 1260i132NDAVCNE ��STwHlO�:UI <br /> KIRKI.MD,µ'A 4R0?J 0:'!M1?UU') <br /> (423)814�711a <br /> PROpOSED USE OF BUILDING aw�rttno M�en�nic� WORK A°011100 H T SOUR—CE� <br /> PERMIT Comhln�tlon �lumhlnp Alt��ade� El�ctnc <br /> iypE o.�,ouuan sio� n'P! _ N�w +. <br /> M drMl�int h <br /> CONTRACT PRICE OF WORK 5)49 OU CITV OF EVERET7 LOCAL SALlS TAx CoOEiS �i OS <br /> WORK DE9CRIPTION � <br /> Rcmove�R�pince Flectnc N'aicr I lealcr <br /> MBI MECHANiCAL <br /> Of I ,?YP[ Of Fi%TUR fi M <br /> WpTER CLOS[i _______ A/C•AlM4NDl INO UNITS <br /> BATHTUB _____._ `QRCEO AIR SYSTEMS I <br /> UIVATORY(WASH BASIN) _____.._ MEAT PUMP <br /> � SHOWCa __�_ UNIT HEATERS <br /> KITCHFN SINK b DISPOSAL ______ � CIOTHES DRYER <br /> OISHWASNER _ _ _ RANGF HOOD <br /> 4 IAUNDRY TRAY . �_�. _ WATER MEATER <br /> CLOTHES WASHER __.__ METAL fIREVL.CEISTOVE <br /> URINAL _____ FIREPLACE INSEAT <br /> DRINK�NO FOUNTIJN _�_ OAS fIREPLACE <br /> � �LOOR DRAIN GAS R/1NGE <br /> � BACKrLOW PREv[NTER ._.�_ o�s �IPiNo <br /> 61NK (9ERVICGBANMOP/ETC.► _____ EXHAUST fAN <br /> ----- OTHER------'----- --`-"--- <br /> OTHER_���---�--- --- <br /> I MERFOV CERTIFV TNAT 1 MAVE REI10 NNO El(i1MINlD THIS APUC�T�OPI \NO KNOW TNE S�ME TO BE TRUE AND COqRECi AL� <br /> PROVISIONS O�LAWS AND URDINANGPS GOVERNiNO THI$TVPE O�WURK WILL BE COMPUEO WIMT WhETNEA SPECIFIED MEREI <br /> OR NOT,TNE GMNTINci OF A PEfiMIT DOES NOT PRESUME TO GNE AU'-MORITv 70 VIOUTE OR C�NCEI THF.PROVISION Of 11NY <br /> OTI�CR 9ThTE OR LOCAI lAW NE6UUTING CONSTRUC710N OR TME PERFOAMANCE VF CONSTNUCTIOH.TNAi 1 AM AUTHOAl2ED <br /> EY ME OWNFR Uf THIS PROPfiRTY TO PERfORM 1HE WORK FOR WMU:M APPLIGT�Oh i5 MAOE ANO I COM7LY WITN THE S7ATE <br /> CUNTRAGTOR$�AW 111.I7 RCW�NU 298100 WAC <br /> SIpn�lun o(OwnedCancnctorlAulhoris�d Agam . , , ONa I I ��9:uV! <br /> - YI N� <br /> ��-�-��-�. �. _� - . - - <br />