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NOV-28-01 WED 10:05 An EVERETT PERflIT SERVICES FAX N0, 425 257 8857 <br />•---- ----_._.-1 _ .1^ <br />PERMIT APPLICATION <br />��✓�" CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETI', WA 98201, 425-257-8810 <br />SITE ADDRE6S <br />oesc. <br />OWNER <br />TENAN7 NAM6 <br />CONTAAOTOR <br />C�o,.....�..-... +, �1er � n l�...l� <br />�Hone 91a-_ ZyS - 2 � i � <br />PRpPOSEb U9E OF BUILoINO <br />COIITRAC? PRICE OF WOHK <br />pApCEL TAX �.D, II <br />�3� 6 0 <br />CONTACT NAME <br />ADbRE99 <br />�• G � 8"!� �;' 6 G <br />�g.a-r�`�� tr�1 <br />PHONE <br />P, 02 <br />r <br />12 -oD2- <br />_� <br />PHONE <br />coNTn. ucense r <br />6ulldinp � Mechan�cal Aadilbn NEAT 90URC8 <br />P�RMIT Combinstion Plumbinp WQRK Al�e�et�on D Elxtric <br />TYPG � Demolillon 61Bn TVPE New �,j Oe� <br />�-� 6prinkler RopNr/A1�InL U ou�er <br />CtTY OF EVlRETT LOCAL 8ALE9 T�% CObE 18 7105 <br />WORKDFSCRIPTION jlacr��NF�rt.c <br />QXGr Cfj �-- <br />�,�JMBINO <br />NO. � TVPE OR RIXTURt OA ITKM <br />W�TER CL06ET <br />BA1'HTVB <br />LAVATORY (WASH BA91I� <br />SHOWER <br />KI'�CHEN SINK & DISPOSAL <br />DIGI IWACI IGfI <br />LAIINDf lY TFiAY <br />CLOTI ICS WASFIER <br />UFINAL <br />DFINKIN(3 FOUNTAIN <br />FLOOR DFlAIh <br />BACKfLOW f'REVGNT6R <br />RiNK (SHfaVic:F1PAMy10P/ETC.) <br />OTFIEft <br />�.�� . _�_.._� _ __.. <br />o •.. h., ra < <br />� <br />TYI'E Ot IIXTYRC OII ITlM <br />NO -A?iAIJOLINO UNIT� <br />FORCED AIR 6YSYEM3 <br />HEAT PUMP <br />UNR HEATERS <br />CLOTHEB DRYE:R <br />MNOE HOOU <br />WATER NEATEFi <br />MF74L FIREPLACE/STOVH <br />FIR[PLACE IN9ERT <br />OAB FIREPLACE <br />OAS RAN6E <br />OA8 PIPiNO <br />EXI IAU6T ('AN <br />OTNER <br />J <br />I NERE[11' CCNI'fIFY TI UT I HAVE READ AND �JfAMINED THIS APPUCATION ANO KNOW THE &AME TO BF. TRUE AND CORhiCT. ALL <br />F'ROVISIONS OF LAWS AND ORIDINACES aQVERNINO THI8IYPE OK WORK WILL BE COMP�IE� WITH WMETYiF.R 6PECIiIED HEREiN ON <br />NOT. TME GRANTiNO Of n PENMi I OUE9 NUI PHE9UME IU GIVt AUIMOHIIV TO YIOIATB Ofi CANCEI TME PROVI910N OF ANY OTHER <br />S1 ATE OR IOCAL U\N RE(iUUTINO CON&TRUCTION OR THE %'EFFORMANCE OF CONSTHUCTION THAT 1 RM AUTMORI2Ep BV TME <br />OWIJEfi OF THIS PROPERTY TO FkRfORM TME WORK FOR 1M11CM APPLICATION ly MADF AMl I(:pA1Pl'/ NlITM TNC STATE <br />C9NTFAC10R3 UW 1 B 47 RCW AND N0.200 WAC. <br />