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� Ju1 3D• 2008 5� 13PM _ No•5060 P. I <br /> FERMIT APPLICATION <br /> CITY O� EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT.WA 98201 <br /> 425-257-8810- FAX 425-257-8857-w�vw.everettwa.org <br /> APpLICATIOhS ARE ACCEPTED FROM !AM TO 4 PM � � � �-O� <br /> SI1E ADDRESS pARCEL TAX I.D.!1 VERMR II <br /> o co�by � ►6� 00300 o�a�-rd� <br /> LF,CA1 nLOT N0. /9�L-OyCK TRAGT OR SU9DH1510N R �I <br /> DESC. J `I' �CO I � _ yaS'���—J YC�C� <br /> OWMER AbD I7Y/ZI PNONE , n <br /> ��� wTr <br /> s,�� �-�-��-�St3 e��.s�� v�.� n <br /> TLNANT NAME COjNT�CT FOR PERMIi PNONEy�.�p�O Y�� <br /> " m ��S I C IW�Cj 5��;"�S'J J E#IAIL <br /> � ' G�l I IP <br /> ,S•�orA� �-�'r�-PR�is� <br /> conrre.uc�nse a <br /> USE OF BUILDING r HEA7 SOUfiCE I CONTRACT PRIC�OF WORK <br /> �_dJ <br /> �.X'��U��'�_ _Ele�.iric ,�as„ „ Other -- <br /> WORK DESCNIPTION�J�D ^�-�A Cg����"�I' �T��»� � ,`o Dt L Fjt�5�2'�5 <br /> ,�,(i-e Ht.o�ti" _ p�o✓�o�- c�Pe�t��r, �-To frv�'a-cr.-rr Sp.HCE - <br /> PLUMBING � �� IVIECHANICAL <br /> I N0. TYPE OF FIIfTURE OR ITLM NO. TYPE OF FIXTURE OR ITEM <br /> Toi;el � !JC-air handlinp un�ts <br /> �- � Bnlhtuh Fnrr.edaiiSy610m5 <br /> , lavatory(washbasin) Gaspipinp <br /> Shower Wale�heatet <br /> Kitchon tlnK 6 tliSDosat _� Gas firopince <br /> DibIlAA5h0f Gas ianpe <br /> . �... Clolhex waehnr Cblhes Oq7r <br /> Wa�cr hoater Ranpr,h<md <br /> Sink(servicelGadmopfetc.) Exhaust tan <br /> ' Ci�ckflow prmr,ntr,r _ Hc�it pump <br /> ` Urinal . Untthoator <br /> Drinking Fuu�ilain � Buller <br /> Flnor drafn aClrigerullan <br /> Grease trap Woodslove <br /> Roofd��ins Othori____ .-- <br /> .,, Oiher , _. .,�_ <br /> —I _ _' _"... _ <br /> y -- CIiY OF EVERETT IOCAL SALES TA%CODE 7S N05 <br /> I hr,reby cenlify O�al I have reatl and ezamined this a�lfcatlon and know lhe same W be Vue antl coner,l. All provls�ons ol laws and <br /> orflinar,es govnminp thia lypO ol vmrk will Lr.cuinph0d wi11 whOthBr SpOCdIOd hnrr.in ar nul.Th6 pr2nOng ot 2 potmil docs nnl pmrume <br /> lo pive au ority to � � B 0�C2f1CBl Ih0 p�0�i510n 01 Pny alhnr n10(B Of W[dl IdW fBflU10tln0 pr�tsini[lvn U�lhe p2AD�A�CE 01 <br /> cnnslru mn �I m uthnrireA 6y the owner of this pro��etty to poAprm thn work for vA�icil eppllCalion ie modn unJ 1 a�mply wilh llie <br /> 5tate onh. , s .27 RCW and 20tl.20U WAC. <br /> �Sy tu u .r onlraclmlAuthorit���at�e — <br /> � . __. --- '--�� - . <br /> / � <br />