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NOV-2i-01 12:30 FRON-NORTHNEST-f"tIIUR 206-374-GB?4 ,�r T-B30 P,01/Oi F-0/0 <br />r --� t <br />i <br />PERMIT APPLICATION <br />CITV OF EVERETT PERMIT SERVICES <br />3200 CEpAR S7REET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257•B857 <br />SITE AD�RE&9 <br />5�� - �7��'''' c�rF c�c7 <br />pESC. <br />i <br />TENANTNAME <br />CONTHACTOR (�� <br />(��ash. SnaX�'X <br />OP 9UILDINa <br />CONTRACT PRICE OF WOPK <br />WORK DESCRIPTION <br />PARCEL TAX I.D. M <br />� a�0 0000 � t_^�J <br />CON7ACT NAME <br />�,�a�iLo ,C.R� F�' <br />PERMIT n <br />��- 0� � <br />F`�� <br />�-OlS 1 <br />PHONE <br />CONTR. LICENSE M <br />Buildinp Mechenica� nddiuon HEAT SOURCE <br />PERMIT g Com6lnatlon �Plumbing WORK �Alterolion �ect�c <br />TYPE [] DemoUtlon [7 Sign TYPE New es <br />L� Spnnkler RepolrlMaim. ou,er <br />Il ~� CRY OF EVER�ff LOCA4 6ALES TAX CODE IS 3105 <br />�� i 1 :� � � I I 1 r <br />NO. I TVPH OP FIXTUHE OR RBM <br />WATER CLOSFT <br />AATHTUB <br />LAVATORY (WASH B.15IN) <br />SHOWER <br />K17CHEN SINK 8 DIS �OSAL <br />OISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHEF <br />URINAI <br />DRINKINC FOUNTAIPI <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAWMOPlETC.) <br />OTHER _ <br />NO. <br />TVPE OF FIX7URB OR REM <br />A/C -A/HANDLINQ UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEA7ERS <br />CLOTHES DRYGR <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACEiSTOVE <br />FIREPIACLINSERT <br />GAS FIFEPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER _ <br />I NEREBV CERITIFY 7HAT 1 H�VE READ I1ND EXMIINE� iNIS APPUCATION AND KNOW TME 3AME TO BE 7RU[ AND CORRECT. ALL <br />PfiOVISIONS OF UWS ANO ORIDINACES GOV@RNINO THIS TYPB OR WOPK WILL BE COMPLIED WRH WHET}iEti SPECIFIED HEREIN OR <br />NOT. TME GRaNTING OF A PI:RMIT DOE8 NOT PRESUME TO aIVE AU7MORITY TO VIOLATE OR CANCEL THE PROVISION OF ANV OTHER <br />STATE OP LOCAL UW REGUTATING CONSTRUGTION OR TM6 PERFOFMANCE OF CONSTRUCTION. TMAT I AM AUTHOHIZE� BV THE <br />OWNER aF 7HIS PROPER7V "0 PERFORM TNE WORK FOR WMICH APPLIGA710N IS MADE AND I COMPI,Y WITH hIE STATE <br />CONTRACTORS LAW 1B.Y7 RCW AND 286.200 WAC. <br />- - r-: . .. <br />i��a9�or <br />