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NOU-04-2�09 16�47 P'�� <br /> . � <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 GEDAR STREET, EVERET7, WA 98201 <br /> 425-257-8810— FAX 425-257-8857—www•everetlwa.o�9 <br /> ppp�ICATIONS ARE ACCEPTE� FROM 8 AM TO 4 PM ���- u�-� <br /> SfTE ADDRESS PARCEL TAX I.D.# I PERMIT# <br /> c� CY��-1. iSC�cx: �fY� � m 9/� -Oo� <br /> LEGAL LOTNO. BLOCK TRAC70RSUBDIVISIONY <br /> DESC. <br /> OWNER AD�flESS CITY2IP PM NE <br /> �.Oi G�f1tlP� ��ScXI ,�.5 C4m��2' " <br /> TENANT NAME I CONTACT FOR PERMIT PHONE <br /> E-MAIL <br /> 110DflE � <br /> 's Ft�aix�r �rCa�:'t�j i�33 nb ��� ���,I � <br /> . . CONTR.LICEN����n�,y�� K�(V��� I w ��"'� I� <br /> —1 YI <br /> USE OF BUILDING HEAT SOURCE CONTR4CY�PRICE OF WORK <br /> ,Electric X Gas_Olhor ��Q(p�� <br /> WORK DESCRIPTION <br /> �"� � �r'-�.- <br /> PLUMBING MECHANIGAL <br /> NO, TYPE OF PIXRIRE OR ITEId h0. TYPE OF FIXTUHE OR fTEY <br /> Tollet A/C—air handlinp unils <br /> � oathlub I Forced air systems <br /> Lnvatory(wash baSin) Gns pioing <br /> ^ Shower � Waler beater <br /> � Kitchun sink& disposal _ Gas firoplace <br /> Dishwa�her _ Gasrange <br /> Clolhos washer _ Glolhos dryer <br /> Watoc heacor Range hood <br /> Sink(service/bar/mop/otc.) _ �haust ian <br /> � BaCktlow proventer {-leat pump <br /> � Urinpl � Unit heeter <br /> Drinking Fountaln _ �oiler <br /> Floor drain Reirigoration <br /> G�ease trap _ Woodstove <br /> � Rooi dmins Olher <br /> � Othar <br /> CITY OF EVERET7 LOCAL SALES TAX CODE IS 3105 � <br /> I hero6y caritity lhat I have rend und ozamined thls application and know the same�o be true and corr¢�t. All provisio0s of lows and <br /> ordlnaces povaming this type of work will be Compliod wilh whether specitiod herein or noL Tho grantinp of a pormil does not presume <br /> to gNo authoriry lo vlolato or cancel the provision ol any rnher slalo or lacal iaw regulating wnstruction or tho peAormnnco oi <br /> coiutruction.That I am aulhorized by the owner of this property lo pedorm�he wo�k br which application is mede nnd I wmply with tho <br /> Sluto Conl � 0 18.27 RCW and 29G,200 WAC. <br /> ipnotur Ownov 6n ra�t d horiza , g � �d <br /> , . ,�. . � . i . <br />