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OCT-14-02 <br />SITE ADDRESS <br />/5 2ss _7'" <br />Lf:GAL LOT NO, <br />DESC. <br />09:44 AM EVE ETT PERMIT SERVICES FAX NO. 425 If257 8857 <br />APPLICATION <br />PERMIT <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257.8810 - FAX 425-257.8857 <br />s-W . <br />� AA <br />olfAT $o� <br />TENANT NAME <br />A 7- r aROADaA' <br />CONTRACTOR <br />rq/1CNL7L C "W- tAje <br />PHONE <br />Z-5-3 -E 72-7127 <br />PROPOSED USE OF BUILDING <br />y=FrcL /mrc7. / i/o.c/I <br />CONTRACT PRICE OF WORK-f <br />WORK DESCRIPTION <br />PARCEL TAX I.D. I <br />DLOCK TRACT <br />PAtTEu.T SNrP <br />--- Iy CONTACT NAME <br />rNTr�l .UCS � <br />ADDRESS <br />7855 S• 206 ^'ST <br />,�Ct--uT, w1 980�L <br />Bullding MochaMCAI <br />PERMIT B Combination Plumbing <br />TYPE D Oefnolillon Sign <br />QQ99 sprinkler— <br />P. 01 <br />PERMIT ! <br />ZIP PHONE <br />42s--1/5 9'6n <br />PHONE <br />Z5.3 -e 72..727.'L <br />ZIP CONTR. LICENSE A <br />9r<o32- <br />r9RcNcr 1r9DK <br />Addrtmn I HEATSOURCE <br />IK Allaralion 1nn1...�� Electric <br />E New I.,,j Gas <br />Repalr/Meinl. UUU Othor <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />/t ,, . I / i A . rai ,. ,, NC-H/)s- 70 x16") 5-71,)0 / <br />' '' ' — ` ` 1 - - <br />PLUMBING <br />NO, TYPE OF FIXTURE OR ITEM <br />MECHANICAL <br />N0. TYPE OF FIXTURE OR ITEM — <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 6 DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />O1 HER <br />_. <br />_ <br />_ <br />_. <br />__...._... <br />A/C - A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />META_ C FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />_. ......��.. .,v �o nc•unrnC0VPT AIL <br />_ <br />_ <br />�- <br />_ <br />_ <br />_ <br />_ <br />_ <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS ArrLIt A1lUN A-'- n,."....- <br />PROVISION3 OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL Be COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE STATE OR LOCAL ILAW RCGULATING CONSTRUCTION PROVISION <br />ION OR THE PERFORMANCE OF THAT I AM AUTHORIZED ED BY THEHER <br />OWNER OF THIS PROPERTY TO PERFORM THE WORN FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 298.200 WAC. <br />Signatureo U .1 I.Jnlraclorl ulhorizc Agent ele <br />