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FF.OP1 :Evr_rgre�n 5tatc H�at 8 P'C FRX �JO. :425259666�� Do_c. 03 2008 12:54PI1 Pl <br /> i <br /> t <br /> �� PERMIT APPLICATION <br /> � CITY OF EV�RETT PERMIT SERVICES <br /> i 3200 CEDAR STFEET, EVEREIT, WA 98201 <br /> I 425-257-8810—FAX 425-257-8857—www.overetlwa.r.rE� <br /> APPLICATIONS ARE ACCEPTED FpOM 8 AM TO 4 PM �� `3_�� <br /> SITE ADDRESS PARCEI TA%I.D.q pHRM1T A <br /> 3G�d CUC/3Y .�� l;;-�� <br /> LLGAL LOTNO. DLOCK TR4CT011SUB�IVISIONp <br /> DESQ <br /> OW . � A� RE99 I / P NE <br /> 7i/v+ 7Gv/tTi.tir��T /:'tr�' C"a�i3Y,q�� �7i ��! �f,1�- 3`b7 -53vs'� <br /> TENANT NAME I CONTACT FOR PEfiM1T PHONE <br /> I <br /> r_��nn <br /> —`A6DT7� , — <br /> CZf32G�-�v ��= S/»�;Tini-Jyit <br /> CONTR. CENSEp <br /> ��r G ss�.z.�o%_ �/.,�� P�tit�� .,9�� �=v 9?;�:ai :Z S.� -.�ir y <br /> USE OF BUILDINR I — HEAT SOURCE I CONTRACT PRICE OF WOHK <br /> �j��77,���� EI6n..rt ,�L;ao Othar 7 ,�UO �� <br /> 1NORK DESCRIPTION <br /> G/�3'YlYC�C:-DGlI ��%/lI G �vl IlJi�i�CLC-- `/7l Cz;�'�5' <br /> .+ ti„a Z•vr. /l���7z , G.9s f�i�iiz G <br /> i PLUMBING ME:CH NICAL <br /> N0. 7YPE OF FI%TUflE OF ITEM NO. TYPF OI�FI%TUqE OR ITEM � <br /> Tollet N'C-air hantliln0 unts <br /> Bathtu7 Forced air systems <br /> Levatory(wesh bnoln) � Gas plpinA <br /> i = Showor %� Watar healar <br /> Kilchon�Ink&dlsposel Gae flreplaca <br /> �, _ Dlahwashar Z C.as range <br /> j Clothes washar Clothes dryer � <br /> Wntnr hoator (ian�o hood <br /> Slnk(sorvloo/ber/mop/ete.) _ Exliaus�lan <br /> Backflow provonlor _, Huat pump <br /> Udnal �- Unit heater <br /> Drinklnp Founmin _ dallor <br /> � Floor drain RalriBeratlon <br /> Greaso trap Woc�dstovo <br /> fiool dralns _ Other <br /> _ O�her —.r_-��- — ----• -- <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS]105 <br /> I heroby cerltify Ihfit I hevo reed and esamined ihis appllcntlon end know tho samo to be Irue and coire;t. All provislons ot laws and <br /> ordinaces governinp this typo of work will be cnmplied with wheUier specified horoin or not.The granlin�al a permit tices not prasume <br /> to glvo nuthority lo vloialo or ca�col Ihe provisian ol any other sWto or local law rapulaling constructlan or tha peitormance o( <br /> conslruc�lo �T7ynt I am PUlhorli9d by ihe ownet el this pmperty lo pBfform lhn work lor which npplicalic n is maAe qnd I comply with the <br /> � State C ret�ofs La�1A�77 RCIV and 96.200 WAC. <br /> _ �� . � /1. - .�-� � <br /> .>t�,� - <br /> SlAnature o wner/Conlrac�orl2otl AAant ale <br />