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,--- R"'RMIT APPLICATIr N <br /> ���:� CITY OF �VERET7 PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> q7030G <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 14;0 N'CASIKO RA u I I,EVERETT, WA 982C4 OOR6570010 1 1 00 i � , / � <br /> �;'� / l <br /> r.i ( / <br /> LEGALI LOT NO. BLOCK iTRACT <br /> 0���,1� <br /> OWNER ADDRESS PHONE <br /> N�ILD1D1K0,AI.ICE�Y RICR iaio w cnsivo xu kt i <br /> svr_KF.Tr. �vn �szoa iazs��as-o:oi <br /> TENANT NAME� CONTACT NAME —J� 'T PHONE <br /> PAMGLA I10,L 4.5 R14-3124 xi33 <br /> CONTRACTOR � ADDRESS CONTR.UCENSE# <br /> � FAS�'u�ni'LR HI>nl'I.R CO�1PnNti' I.'.601 112?�P AVE NE fAtiTN'�1'1194SC�C <br /> p� (a251sto.3i2n KIRKt.nNo. �vA 5go;a oi�o;�zoo3 <br /> PROPOSED USE OF BUILDING Dullding M�ahinlca WORK �ddlt{on I1EAT SOURCE <br /> PERMIT ComClnetlon Plumning Alteraqon Eleclric <br /> TYPE Damollllon g�pn tVPE N�w �� <br /> Re elrlMeln� �hrr <br /> CONTRACT PRICE OF WORK 5q49.pp CI7Y OF EVERETT LOCAL SALES TA7(CODEIS 7105 <br /> WORK D:SCRIPTIUN �ZemoceReplace Gns �\'ater Ilrater <br /> pLUMBING MFCHANICAL <br /> TVPE OF FIXTURE OR ITFM_, TYPE OF FIXTUR6 OR ITBM <br /> __ WATER CLOSET ______ AIGNHANPIING UNITS <br /> ____ 8ATH7U8 _______ FORC[D AIR SYSTEMS <br /> ____ LAVATURY (WASM BASIN) ______ IIEAT PUMP <br /> __� SHOWER �___ UNIT HEATERS <br /> ___ KITCHEN SINK 6 DISPoSAL __,__�_ CLOTHES DRYER <br /> ___ DISHWASHER ___ _ RqNGE HOOD <br /> ____ LAUNORY TRAY ___�__ WATER HFnTER <br /> � CLOTHES WASHER ___�_ METAL FIREPLACE/STOVE <br /> � URINAI. ____ FIREPLACE INSERT <br /> ___ DRINKIIGG FOUNTAIN ��_ GAS FIREPLACE <br /> FLOOR ORAIN ___�_ GAS RAN6E <br /> ____ BACKFLOW PREVENTER ____ GAS PIPING <br /> _W SINK (SERVICE/BARIMOPIETC.) ^____ [XHAUST FAN <br /> -- - <br /> ._�._ OTHER----____ �. __- ----- OTHER-'----------- -- <br /> I HER[BY CERTIFY t HAT I NAVE RCAD AND EXAMINEU THIS AaUCAT70N AND KNOW TH[SAMB TO OE TRUE ANO CORRECT.ALL <br /> PHOVISIONS OF lAWS ANU GHDINANCES GO�'CRNING THIS TVPF OF WORK WILL DE COMPLI[D WIHT WNGTHER SPEGFIEO MEREI <br /> OR NOT,iNE (;Ftl�NTIM1G OF A P[RMIT DOES NUT PRESUME TO GNE AUTMORITV TO VInLATE OR CANCEL THE PROViSION OF ANY <br /> OTHER STATt OR�-c.�A�lAW REGULATING(:ONSTRUCTION OR TN[FERFORAIJ�NCE UF CONSiRUCI'IDN.TNAT i AM AUTNORI2ED <br /> yV THE OWN[R OF THIS PHOPERTY TO GCRFORM THE WORK FOR WNtCH APPLICATiON I$MAD'c ANO I COMPLY WITH THE STATC <br /> CONTRACTORS I.AW 111.ZT RCW AND 2H0:00 WAC. <br /> Signaturo of OwnorlContrnctoNAuthorizod Agom �,.: „- ,���� . /. - ��« 07'031:00fi <br /> __ iv<r <br />