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�ron: <br />08/27/7�09 14:42 A181 P.002/003 <br />PERNlIT APPLICA`fION <br />CITY OF EVERETT PERMiT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - wvaw.everettwa.org <br />APPLICATIONS ARE ACCEPTED FRQM 8 AM TO 4 PM <br />SITE ADDRESS PARCEL TAX I.O. # <br />y�o ��� <br />LEGA LOT NO. BLOCK TRACT OR SUBDIVISION p <br />O[SC. <br />OWNER AOORESS CITY2IP <br />� v��F T� /�us��/G �cmf�'! �y - 2�iy �5'�`�J3U�f� . �'v� <br />TENANTNAME <br />� �� <br />, /N G <br />CONTR.LICENSEM �M�eZ�"�`��gG1 <br />.� <br />USE OF BUILDING <br />PEFMIT <br />PHONE <br />g'a-�-�� <br />iRMITt! _ „ <br />y7,5-��3 -i/3 <br />3�� <br />`�L� 7°�� <br />HEAT SOURCE i CONTRACT PRICE OF WORK <br />✓Electric ✓Gas Other <br />WORK DESCRIPTION //kf�i,LG, /��r�J LJ=-1�C1' S+e/�cT'CJIF i F'�U�/!� N�/+% C��L� <br />/�.vES /o ati �k�-�'�s �SEF ��c,y-� cv/�j o�•S��PF o!' �,cioa.,� oPfzoq.�� <br />NO. I TVPE OF FI%TUpE Op REM <br />Toiiet <br />Balhlub <br />Lavalory (wash basin) <br />Shawar <br />Kflchen sink 8 disposal <br />Dishwasher <br />Clothes wesher <br />Water healer <br />Sink (servico/bar/moplelc.) <br />Backllow proventer <br />Urinal <br />�dnking Fountain <br />Floor drain <br />Grease irap <br />Rool dralns <br />Olher <br />NO. 1 TYPE OF FIXTURE OR RL:M <br />A/C — air handling Un115 <br />Forced air systems <br />Ges piping <br />Waler heater <br />Gas Iireplace <br />_ �as rongo <br />_ Clothes dryer <br />_ Range hood <br />Exhaust lan <br />Heal pump <br />Unil healer <br />Boiler <br />Iielrigeralion <br />_I Woods�ove <br />CfTY OF EVEBETT LOCAL SALES TAX CODE IS �105 <br />I hereby ceritlly lhal I have read and oxamined Ihls application and know Ihe same lo be Irue and co:rect. All provisions ��t laws and <br />ordinaces govoming Ihis lype ol work will bo complied with whelher specilied herein or nol. The grenting ol a permit doe_ not presame <br />lo give authority lo violute or cancel Ihe provision of any olher slale or local law reguleling conslr�:uon or the perlormanca ol <br />consiruction. That I am aulhorized by �he owner of Ihis pmpeny lo perform Iho work lor which appliailion is made end I camply wilh Ihe <br />Stato Conlraclors,l.�w �:27ACW and 296.200 WAC. <br />