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RUG-15-2006 15:06 FROM:C8M HERTING 425-745-1344 <br />SITE AODRESS <br />LOT NO- <br />T0:14252576857 P:1�5 <br />p�RMIT ARpLICATION <br />CITY OF EVERETT PI:FtMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTEu FROM 73 A�7 TO 4 PAA <br />T PARCEL TAX I.D. �J <br />s-t <br />BLOCK TRACTORSUBDIVISIONS <br />L+.-�N R�A�S �2y M <br />TENANTNAME I CONTi <br />Cr�i i-ir�;,NU �NE iy�5 �`:�UR <br />CONTR.LIGENSEp . <br />USE OF BUILDING <br />PERldR PHONE <br />E-MAIL <br />ciivlZlP <br />EvG`��T Qf�2Ul <br />HF.ATSOUr�CE <br />Electric ✓Gas_Other <br />� -I S-O � <br />PERld1T � <br />: ��,x �.:�y <br />V�fONE <br />'�ZS 3�5 18'�/ <br />PFIONE <br />y25 ZSq l�� <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPTION � <br />Insi�ll �ias �'v��o�c¢. e�,r�d -�wtuess u�a�e.r h�c.�^ <br />NO. I TYPE OF FlXTURE OR ITEh7 <br />Taile[ <br />Bathtub <br />Levatory (wash basin) <br />Shnwer <br />Kitchen slnk & disposal <br />Dishwssher <br />Ciothes washer <br />Water heater <br />Sink (scrvico/b2r/moplelc.) <br />garkilow provenler <br />Urinel <br />Drinking Fountain <br />FIOor dr81� <br />Grease trap <br />Roof drains <br />Otner <br />NO. � TYPE OF F(XTURE OR REM <br />A/G — air hantlling uni�s <br />Forced alr systems <br />Gas piping <br />�Naten c�ater <br />Gas fireplace <br />Gas range <br />Clothcs dryer <br />Range hood <br />Exhausttan <br />Hcntpump <br />Unit hcale� <br />Boiler <br />Rc(ngeratior, <br />woodstove <br />Other <br />CITY OF EIfERE7T LOCAL SALES TAX COUE IS 3105 <br />I hereby ceritify thal I have rcad and examined this appllcatian and !cnow the sams M Go true and cortecL Atl provi�;ons of IaKs and <br />ordinacr.s goveming this type ot wo�k will be comp�ied with whether 5pecifieJ harein or noL The granting ot a pertni! does not presume <br />to glvo aeU�urlry to vlolate or cancel the provicion of any other state or tocal Iaw regulating consWciion or the perlormance ot <br />constwGion.'fhat I am authorized by (he owner of this property to pertortn the work for which appllcation is made and i comply wiih the <br />Statc Contractors Law 1027 RCW and 296.200 WAC. <br />