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JAN-lE-02 WED 12�58 PM EVEF, ' PERMIT SERVICES FAK N0. 425 � 8857 P. 02 <br /> --, PERMIT APPLIG�TION <br /> ����..T� CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR S7flEET, EVERE7T,\NA 98201, A25-257-8810 y`�/ _0� <br /> SITE A�ORESS pARCEL TAX I.D.i PERMI71t <br /> �2Z�� !� /11o2-rz�i A �^�-- ChC��f 3 �5 ��.�u/ /�r4>z �OIQD - <br /> LECiAI L07 N0. BLOCK 7RACT <br /> DESC. <br /> OWNER ADDRESS PHONH <br /> 2�c1� �cc c��2r i i S'v� !-���� rit i� �JzS'-�iz�-3io� <br /> TENANT NAM17E I CONTACT NAh1E PMONE <br /> l��rlrrx /�%6��r_T I QZ�- 3o3-iz3� <br /> A 7 �' �TOq � ���n L I V� CONTR.UCENSEt <br /> AdDRESS <br /> O7EMC� .��E ,CIALCENTER AcriowNos,o►� <br /> �{AA� . r . 1 _ 4th ST tl 43 ,�21" -5 20 -S-S-�S" <br /> � <br /> ;, .-----';=-� <br /> pROPOSEo USE OF BUILOING � Bullding (gf Mechenlral AadiUon HEAT SOURCe <br /> PERMIT Comhinaqon (� Plumbing WORK B Alle2lion Q �strb <br /> 7ypE Demolilion � Sign TYPE th New b4 <br /> Sprinkler )? RepeidA'WinL �.J OR1o� <br /> CONTRACT PHICE OF W ORK -��G� ,j S n�� qTY OF EVEAETT LOCAL SALES TAX CODE IS 5105 <br /> WURKDESCRIPTION i2�p/Q �c �'r9S �fn7� k�«��-Q� H�' �`�''�LOSc n <br /> aTf �3cl� ni�.trT �o�c .Z=� St��'C1z� ��,e�c�FL�-� <br /> IS i <br /> u' � <br /> p�I�M�G 4dFGHANICAL <br /> NO, TYPE OF FIXTURE OR REM N0. TYPE OF FI%TUflE OR ITEM <br /> WA7ERCLOSET ^ A/C-NHANDLINGUNITS <br /> BATI ITUEI ,_ FORCED AIR SYSTEMS <br /> L4VATORY{WASH BASIN) „ _ �NIT HE TERS <br /> _ SHOWER _ GLOTHES DRYER <br /> KITCHEN SINK&UISPOSAL RANGE HOOD � <br /> ^ �ISHW�SHER <br /> +_ LAUNDRYTRAY WATERHEA7ER <br /> „�, CLOTHES WASHER ^ ME7AL FIREPLACfJSTOVE . <br /> �_ UR!N!�.L � FIREPLACEINSEFi7 �t �C� <br /> _ DfiINIQNG fOUNTAIN _ GAS FIREPLACE J <br /> FLUOR DflAIN _ GAS RANGE <br /> BACKFLOW PREVENTER � GAS PIPING <br /> _ SI�K(SERVICFJDAf�/A70P/�TC.) �, EXHAUST FAN <br /> _ OTI1EFi__,.,.....__.^_ _ OTHER <br /> I HERF.BV C[RITIf-Y THAT 1 hIAVE RFAO AND EXA1.11NE�THIS APPLICA710N AND KN01V THE SAA1E 70 BE TRUE AND CORRECT. All <br /> PROVISIONS OF LAWS ANO OflIDINACES GOVERNING TNIS Tl'PE OF WOHK WILL BE COMPLIED WITH WHEfMER bPECIFIED HEREIN OR <br /> NOT. THt GRANTING OF A PERMIT pOES hOT PRESUME TO GIVE AUTNOFI'fY 70 VIOIATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATG OR LOCAL L.1W REGULATING CONSTRUCTION OR THE pERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORI2ED BY THE <br /> OWNEH OF THIS PflOf'ERTYTO f ERFORAI THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLV WITHTHE STATE <br /> LONTFLICTORSIAW 1a.27 RCW AND 296.20J WAC. <br /> � .s�3 ��0 � <br /> ��-�t � Dalo <br /> Signatirte ol OwnedContractodAuthorizotl Agcnt <br />