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Fram <br />O7/04/2010 13:58 N366 P.002/003 <br />PERMIT APPLICATION <br />CITY OF EVERE7T PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 982D1 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS PARCEL TAX I.D. p <br />g / 7 L..��l D�/ <br />L[GA LOT NO. BLOCK TflACT OR SUBOIVISIDN K <br />OESC, <br />OWNEA AODRE55 CITY/ZIP <br />� Ve,e� Tr /�US'/n/� �C/77i��� ��-� - 27/l /y� ���..fjUc�r� ' �Vh � <br />TENANTNAME <br />��� <br />, /NG <br />COHTii. LICENSE I �M�e,z '��` �� BQ <br />'�! <br />USE. OF BUILDING <br />FOR PEHMIT PHONE <br />HEATSOURCE <br />✓EleGric ✓Gas _ Othcr <br />i -- 4 yo <br /># <br />• ',�1,5-303-//3� <br />rn�nc ��� <br />���f <br />�c%�.a,� �/z� 7�i� <br />CONTRACT PRICE OF WOFK <br />WORK DESCFi1PTION //,E,f��/� /�.A�,J C r��r S��i�r�U�F ,' PtU�(/L� N'Q-� �'4PFL� <br />/�.� /�S 10 a 4� i=, ky-�,��s � S�c �,� c,y� c�Py o�• �S�uPE o�" wo :z,� � Pf,-o q.�� <br />NO. I TYPE OF FlXTURE OR REM <br />Toilot <br />Balhtub <br />Lavalory (wash 6asin) <br />Shower <br />Kitchen sink 8 disposal <br />Disliwasl�er <br />Clolhes washcr <br />Waler healer <br />Sink (cervicelbar/mop/elc.) <br />Backllow prevenler <br />Urinal <br />Drinkinp Founlain <br />Floor draln <br />Grease trap <br />Rool drnins <br />Olher <br />NO. I TYPE OF FI%TURE OR ITEM <br />A/C — air hendling units <br />Forced air syslems <br />Gas piping <br />Waler healer <br />Gas lireplace <br />Gas range <br />Clolhes drycr <br />Fangc hood <br />Exhaustlan <br />Heal pump <br />Unil healer <br />Hoiler <br />Relriperation <br />Woodslove <br />Other <br />CITY OF EVERE7T LOCAL SALES TAl( CODE IS �705 <br />I hereby ceritily thal 1 have reatl and examined Ihls applicalion and know the same to be Irue and coirecl. All provisions ol laws and <br />ordinaces governing Ihis type ol work wili be complied wilh whether specilletl herein or noL The granting ol a permit does nol presume <br />Io give aulhority lo violale or cancel Ihe provision of any olher slale or local law regulating conslmction er thu pertormance ol <br />consl�uction. Thal I am authorized by lhe owner of lhis property lo pedorm Iho wo�k lor which epplication Is made and I comply wilh Ihe <br />Slale Contractors,l�w 1�:2qjtCW and 296.200 WAC. <br />