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Jul. 13. 200§ 10;30A�� 42§ 867 0962 <br />� <br />PERMIT APPL��ATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98205 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />No.9166 P, 1 <br />APPLICATIONS ARE ACCEPTED FROM s AM TO 4 PM - DE81T 3 CREDIT CARDS ARE NOT ACCEPTED <br />SITE ADDRESS <br />05i.v � <br />L LOT NO. <br />' DESC. <br />OYYNER <br />��TENANTN <br />�T�/� 6ves`� <br />��e� � � L., <br />BLOCK TRACT <br />AODRE; <br />�I � ���uvy LC L Pe <br />PARCEL TAX I.D. t► <br />�,c 19s6 <br />� � CONTACTFORPlRYR <br />�� N%� s�5' ��� o� y F- o h r�li- <br />��vd o <br />PNONE <br />�iaS 8g3-�aa�{ <br />CONiRACTO • ApDRE33 CITY P PHONE <br />%7l'E►1� WI�C�AryICu �f(o3d �S 3� /z�'�w�d r�'� P8 <br />�o►� ��. <br />USE OF BULLDING <br />� <br />CAL�vCiQ <br />HEATSOURCE <br />�IeGric _Ges_Other <br />WORKDE8CRIPTION �,�, �QCe � ,3 T'Oy� 0 <br />�k�oar �errnoSfa+, <br />N0. I TYPEOFFIXTUREORITEM <br />Bathtub <br />Lavatory (wash basin) <br />Shoxer <br />Kitchen aink & disposal <br />Dishvrasher <br />qoMes waaher <br />Laundry tray <br />Sink (xrvice/barhnop/eta) <br />Badcflow preventer <br />Urinal <br />Drinking Fountain <br />Fbor drain <br />Greasa trap <br />Rool dratns <br />Other <br />CON7R�CT PRICE OF WORK <br />,00 <br />Ca��ehsrn9 uhii- au.� <br />N0. I TYPE OF FO(TURE OR REM <br />A!C — air haiMling unih <br />Forced aIr systems <br />Gas piping <br />Waler heater <br />Gas fireplace <br />Gas �ange <br />Cbihes dryer <br />Rarge hood <br />Exhaust fan <br />Heet pump <br />Unit troater <br />Boikr <br />Refigeration <br />Wooda <br />Olher �� <br />PJWPw� <br />qTY OF EVERE7T LOCAI SALES TN( CODE IS ]706 <br />I hereby aritify that I have read and examined thb applicatlon end Imow the sartro ro be true and corred. AI; provielorq ef lauy and <br />ordinaces govemirg thfa type of work will be complkd with whether spedfied herrin or not The grontlng of a pertni don not prcsume <br />to giva authority M violete or cancel the p�oviSian of any other state or bcal law rsgulatirg constructlon or the perfqmance ef <br />canstrucGo�. That I am authoraed by the w+ner of this property to perform fhe woAc for which applicadon is made and 1 �wmpy with the <br />Stale Contradors Law 18.27 RCW and 298.200 WAQ <br />