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06/05/2008 15:30 FAH 3604242041 PR�SIOlO CONSTRUCTION �002/003 <br /> � � <br /> PERMIT APPLICATION 6�oS-o� <br /> CITY OF EVERETT PERlM1T SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810— FAX425-257-8857—www.everettwa.org r— -- - --� <br /> APPLICA710NS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDHES PARCEL TAX I.D.p <br /> /o� l �ve2 .�e,v Gfl a�so a oaooio go�-a! <br /> LEGA LOT NO. BLOCK TAACT OR SUBOIYISION 1� - <br /> DESC. <br /> OWNER ADD E55 CITY2IP PMONE <br /> sau�h Pn,;v� �/a� �L�, �F� EIG;v��v �-°d �Ac���c u/.�9g�� 36s336 3 9 <br /> TENANT NAIAE � CONTACT PERMT PHONE 3(p4'S3 '�3�9 <br /> A,� � � 5�.C1 ea,ta� P�u�il1 ��d1oC� .U� <br /> CPs rrn►b���q °�f�PR�-��y i9ov �leoad,4ve . �: ��.��.� �sa�3 <br /> oo�.���,9EM CPT ��1�� ��Je �'00-�2$- 563 <br /> USE OF BUILDING MEAT SOURCE CONTRACT PHICE OF WORK <br /> �..��.{�I I _Electrlc XGas._Other �5�� <br /> WORK DE3CRIPTION <br /> A-� R- 1,�A��ti P-0om <br /> PLUMBING MECHANICAL <br /> Np, TYPE pF Fl%TURE OH REM NO. TYPE OF FlXTUflE OR ITEM <br /> Toilat A/C—air handling uniis <br /> Bathtub Forced air systams <br /> Z Lavatory(wash besln) _ Gas plpinp <br /> _ Shower _ Water hsater <br /> � Klkhen slnk 6 disposel _ Gas 1lreplaee <br /> _ Dishwasher � Gas range <br /> Clothes washer _ Clothes dryer <br /> Water heater _ Range hood <br /> Slnk(sorvlcolber�map/etc.) _ Exhaust fan <br /> _ BackNow preventer _ Heat purt�p <br /> ,_ Urinel _ Unk heator <br /> _ Drinking Fountain _. Boiler <br /> _ Floor drain _ ReftlgereUon <br /> _ Grease trep _ �Noodstove <br /> Roof drains ^ Other <br /> _ OthO� — <br /> , Ct7Y OF EVERETT LOCAL SALES TAX CODE 19 31 DS <br /> I h roby cerltiry that I have read and oxaminad lhis application and know the sema to be trus 2nd correct. All prvvisi0ns oi laws end <br /> ordl overning this type ot work wlll he complfed wlih whether specllled hereln or not.The granAng of a parmlt does nol presume <br /> to pive oriry to violete or cancel lhe provision of any other state or local law reputalinp constructi0n or the perform&nce of <br /> cons ctlon.That I am authorized by the owner oi thls property to peMorm the work tor whlch aoplkatlon Is made end I comply wlth the <br /> St e Contracto L 7 RCW and 296200 WAC. <br /> ti � ��S <br /> Slgnature of Owner/Contractor/Authorizad Agent ate <br />