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09/1B/2009 15:42 2538542497 <br />STAPLES1319 <br />PAGE 01/01 <br />41" <br />SITE <br />DESC.1 I,_ nt- I <br />_ `AI IOVL a <br />TENANT NAME <br />Y1 <br />N1R I R IIn^ <br />J Qi `C " t � <br />CONTR. LICENSE rlt� <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-267.8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D, p PIERM A <br />00 ?�34 000ct� <br />BLOCK TRACTO SUBDIV SION M r <br />oco 0-0[ ��v C t\ <br />ADDRESS <br />I CONTACT FOR PERMIT <br />cc <br />Au- <br />VI Q l ZZio 1 �>- 10 11� <br />OF BUILDING HEAT SOURCE <br />Az lv,,� L O'` t� Electric _Gas _ Other <br />WORK DESCRIPTION <br />v�1c9, dv <br />NO. I / TYPE OF FIXTURE OR ITEM <br />avatar' (wash basin) <br />)Shower <br />Itchen sink & disposal <br />ishwasher <br />lathes washor <br />Water heater <br />_ Sink (service/bar,mop/otc.) <br />Backflow preventer <br />Urinal <br />_ Drinking Fountain <br />_ Floor drain <br />Grease trap <br />Roof drains <br />Other <br />&IA (Dv-�PHONr 253�52 <br />fal v�L T <br />l21 E-MAILPHO <br />1 �IC� 5'01 <br />CONTRACT PRICE OF WORK <br />ZOO 93s, <br />No. I TYPE OF FIXTURE OR ITEM <br />.__._ <br />A/C - air handling units <br />Forced air systems <br />Gas piping <br />C,'1Nater heater <br />_— Gas fireplace <br />Gas range <br />_Clothes dryer <br />Range hood <br />_ Exhaust fan <br />_ Heat pump <br />Unit healer <br />— Boiler <br />_ Refrigeration <br />_ Woortstove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby ceritify that I have read and examined this application and know the same to be two and correct. All provisions of laws and <br />ordinates governing this type of v+od( will be compiled with whether specified herein or r ot. The granting of a permit does not presume <br />to give authority to violate or cancel the provision of any other state or local law regulating construction or the performance of <br />copstrucal I am authorized by this Property t dorm the work for which application is made and I comply with the <br />St a Co cl rs Law 27 RCW and 2 6.200 WAG. /1( <br />l) VI <br />li <br />