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Froa:Ib1.AC IfJC. <br />?o:P1�252578857 10 " 5/2012 07:52 �170 P.002!003 <br />PERMIT APPLICATION <br />CITY OF �VERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERET7, WA 98201 <br />425-257-6810 — FAX 425-257-6857 — www•everetl�va.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 P►v9 <br />SITE ADDRESS I PARCEL TAX I.D. #' <br />�'� S <br />LEGA LOT N0. BLOCK TRACT OR SUBOIVI. ��N p <br />�ESC. <br />OWNER ADDRESS CrfV�ZiP <br />�✓�,�� i r f/ousi�G ��rf�'%�`y - 2��5 i5'`�s�r�epf .�'i� <br />TENANTNAME I <br />/� % f} <br />RACTOFi " �� �NG � <br />CONTP. LICENSE # ��1,� f}.e ,Z 'y` �� Bg <br />USE OF BUILDING <br />FOR PERMIT <br />HEATSOURCE <br />✓E�ec�ric ✓Gas Other <br />PHONE <br />PERMIT # <br />���I��C L%1`� <br />��z5-3o3 -i�s <br />IY Yf1VIVC �i A <br />�L'tr� fOV <br />�'VO/I �fL�/-7��� <br />CONTRACT PRICE OF WORK <br />WORK OESCRIPTION //h,S��LL Y)�P�-J !-�L^�U' S�cf/�r-'U�� �` AU�l�l� N`�'-�% C��'� <br />/�,�/�s fa a.[r. F�ky-�.,��s ��s �=.-rwc,�-�> cv�y o�•�evP� o�' woiz�c o�{�q�� <br />Np, � TYPE OF FlXNRE OR REM <br />Toilet <br />Balhtub <br />Lavatory (wash basin) <br />Showar <br />Khchen sink R disposal <br />Dishwasher <br />Clolhes washer <br />Waler hoater <br />Sink (servica/bndmop/etc.) <br />Backflow preventer <br />Urinol <br />Drinking Fountain <br />floor drain <br />Greaso !rap <br />Fiool drains <br />Olher <br />NO. I TYPE OF FIX7URE OR REM <br />__ A/C—alrhandlingunits <br />_ Forced air systems <br />Gas pipinp <br />Watcr hoaler <br />Gas lirr.place <br />Gas rnnge <br />Ciothes dryer <br />Range hood <br />Exhaustf¢n <br />Hea� pump <br />Unit heater <br />Boller <br />Refriperation <br />Woodstove <br />CT' OF EVERETT LOCAL SALES TAX CODE IS 9105 <br />I hereby cerility lhat I have read end ezamined this applicetion and know ihe same to be Irue and corred. All provisions of laws and <br />ordinacos poverning Ihis lype ol work will ba complied with whether spocllied horein or not. The granting ot a permit does not presume <br />to give authonty lo viotate or cancel the provislon ol any olher state or local hw reguleting construction or Iho poAormance ol <br />conslrucuon. That I am authorizud by ihe owner ol this property to pertorm Ihe work lor which appliwUon is matle and I comply with the <br />Stale Contracto�rs w �:2�j1 CW and 296.200 WAC. . \ <br />C/�.G��,�-������ ,'G � i�,��\� C� � n � L' ��I,:i �� �.�'.1 1 <br />i <br />