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f�ERIVII�' APPLICATION a�a3-OI <br /> CiTY OF EVERETT PERMIT SERVICES���►S�(��UJ�` <br /> 3200 CEDRA STREET, EVERETT,WA 98201 <br /> 425-257-8810—FAX A25-257-8857—www.everettwa.org FEB 2 0 1009 <br /> .. . <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � ���""""""••••••••••••...;,,, <br /> _ CITYOFE •;� <br /> SITE ADDRESS , PARG L TAX I.D.# ` � �bIIC S@ryJ(�s <br /> � �� ��,'(YICx''��C� ,� ��� - L� �`�?� ��`�� ill'j[,�� i� �lG" "�/ <br /> LEGA LOTND. BLOCK TAACTORSUBDIVISION# � <br /> DESC. <br /> OWNER � ADDRESS CITY2IP PHONE <br /> P��2�yr' `rfl���P� i�fi�' 1_0���l��ucl �l,,� �<<P,,t� ����;� y�� .ZY�,,{3���i`� <br /> TENAfdT NAME I CONTACT FOH PERMR PHONE -��-p r'�-��� <br /> �`r�*In� ���.�1�"`�` E-MAI�OTWG�l�vf�lC��W� �!}N <br /> COMApCTOR_ AO�RES �/ (/� CITY2IP PHONE G <br /> cONfAQ•s��N�� ��'�' �a�I-5 /��0 d�-1C�1ar� U�G�� l�' C��— <br /> l��sti-tsx-9sa o f ��/���.� (,,�a %Boas 97g-�58� <br /> USE OF BU�LDING . HEAT SOURCE CONTRACT PRICE OF WORK <br /> , , n ' � ��� � <br /> � � /�l.�t �1��.�, �Eleclric Gas Other p <br /> 1� �� — <br /> WORK DESCRIPTION • <br /> ��� l l�'� i�-�( C�2L � j C I�'C''i-lc �; '�� t�r l�_���� f,:';� <br /> � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FlXTURE OFi ITEM NO_ TYPE OF FlX7URE Op ITEM <br /> Toilet A/C—airhandling units <br /> Battdub Forced airsystems <br /> Lavatory(wash basin) Gas piping <br /> Shower Water heater <br /> Kitchen sink&disposal _ Gas fireplace <br /> � Dishwasher Gas range <br /> Clolhes washer Clothes dryer <br /> � Waler heater _ Range hood <br /> Sink(servicelbar/mop/elc.) Exhaust ian <br /> Backllow preventer Heat pump <br /> Urinal Unit healer <br /> Orinking Founlain 8oiler <br /> Floor drain Refrigeralion <br /> Grease irap Woodstove <br /> Roof drains Olher <br /> Olher <br /> CITY OF EVEflEfT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritify ihat I have read and examined lhis applicaGon and know the sarne to be true and correct. All provisions o(laws and <br /> ordinaces governing this type of work will6e complied with whether specilied herein or noL The granting ot a permit does not presume <br /> ro give authorily to violate or cancel Ihe provision of any olher state or local law regulating construcuon or the pedortnance o( <br /> con;truction.That I am authorized by the owner o(Ihis property to peAortn the work(or which applicaGon is msde and I compiy with fhe <br /> State Conbactors law 1827 RCW and 296200 WAC. <br /> �� .�.,,� ��.. 2-« -�'i _ <br /> Sign��ur;;ui p�ed r0ctor uthonzed Agent Date <br />