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APR-26-02 14:13 FPOLI-NORTHWE ASS ILUR 206-374-0834- T-826 P 01/01 F-720 <br />I ERMIT APPLICATION <br />CITY OF OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201. 425-267.8819 <br />I <br />SITE ADORE S PARCEL TAX I.D. 0 PERMIT M <br />Wo 5�- Fd6O5/?06;? ou-700 (' o\o ')q-:' <br />LEGAL L TNO. BLOCK TRACT <br />Ow. <br />OWNER ADDRESS PHONE <br />TENANT NAME CONTACT NAME I PHONE <br />CONTRACTOR %E7 s ! �3 ADDRESS CONTR. LICENSE M <br />a"D-TrfvrLA1A��� /w� txl �µ•I L sq� o Guy <br />PHONE vL � &) Ll-7o-n ' eea.4G UJr) % -I <br />PROPOSED USE OF BUILDING Building achanical [] A tillo� HEAT SOURCE <br />PERMIT H <br />Combinallon frpsllgn <br />umbing WORK All raElectric <br />TYPE Domollllan TYPE N (�) Gea <br />Spdnkter Re air ainL Other <br />CONTRACT I RICE OF WORK 5-taO fIl:) CITY OF EVERETT LOCAL SAXI TAX CODE IS 310E <br />WORK DESCRIPTION <br />MECHANICAL L <br />NO.� TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE qR ITEM <br />I, <br />,_,- WATEI CLOSET A/C - AIHANDLING U ITI <br />BA B FORCED AIR SYSTEC S <br />— LAVA RY (WASH BAE-IN) HEAT PUMP <br />SHOW R UNIT HEATERS <br />KITCH N SINK 8 DISPOSAL CLOTHES DRYER <br />DISHIA kSHER _ RANGE HOOD <br />_ LAUNC RY TRAY WATER HEATER I <br />_ CLO ES WASHER METAL FIREPLACE/STOVE <br />URINA FIREPLACE INSERT ' <br />DRINK NG FOUNTAIN GAS FIREPLACE <br />_T FLOOR DRAIN GAS RANGE <br />I LOW PREVENVR GAS PIPING I <br />SINK ( ERVICEIBAR/MOP/ETC.) EXHAUST FAN I I <br />OTHE — OTHEF;���I <br />I HEREBY CEF TIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TAUS AND CORRECT. ALL <br />PROVISIONS I F LAWS AND ORIIIINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT, THE 3R NTING OF A PERA1rT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TTIJyE PROVISION OF ANY OTHER <br />STATE OR LO AL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I Ao AUTHORIZED BV THE <br />OWNER OF P S PROPERTY TO PERFORM THE WCRK FOR WHICH APPLICATION IS MADE AND I COMPLY WITV THE STATE <br />CONTRACTOR 27 RCW AN0 <br />1 <br />2fiQ�n WAC, ( 1 <br />I er clor/rIfjLhorizedAgent Data --'I <br />