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From: 10/U7/2009 11:39 f235 P.002/005 <br />C � ' <br />SITE ADDRESS <br />a� <br />LEGA LOT NO. <br />DESC. <br />PERMIT APPLIGATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br />BIOCK <br />� v�,e� rr yousi�/G ��'; <br />7ENANTNAME <br />� �� <br />� /ti/G <br />CONTA.UCENSE� /�yµe.� ""�p�B� <br />USE OF BUILDING <br />PARCEL TAX I.D. • <br />7RACT ON SUB9NISION � <br />-�v2�i5 �5'�h <br />PERMR <br />�� <br />PHONE <br />I/✓�9C�f/ •' <br />y�e.Uu,� <br />lO—D7 <br />?HM1T M <br />vz�--�2 -�i3 <br />3�0 0 <br />s�z.s� 70/� <br />HEAT SOURCE I CONTRAGI PFi1Ge Vr munn <br />�ElectriC ✓Gas_Olher <br />WORK DESCRIP'TION //bS7%tLL YJ�Q.t^� "`—T' `�/%«''Ul-� i RCW/� /�"�l�..I COPRC�C <br />/��.Ies /n a.�c, Z•ky,,,r�'s (s.�s .9-��c�o ��a1 �•sea?� ot' woa,c u�',�oq�� <br />NO. I 7YPE OF R%TURE Op ITEM <br />Bathtub <br />Levatory (wash besin) <br />Shower <br />Kitchen slrJc 6 dlsposal <br />Dlehweaher <br />Cbthes wasMr <br />Water heeter <br />Sink (servica/bar/mop/elc.) <br />Backtlow prevenlar <br />U�inal <br />Drinkinp Founlain <br />Floor drein <br />Greace Uep <br />Rooi draire <br />Other <br />NO. I TYPE OF FI7ITURE OR REM <br />A/C — elr handlinp unils <br />Forced alr syalems <br />Gas P�V��G <br />WaUr hea�er <br />c�s n��a�e <br />6es ranpe <br />Clothos dryer <br />Ranpetwod <br />Ezhaustlan <br />Heal pump <br />Unll heeter <br />Bolbr <br />RelriOeration <br />Woodslove <br />Other <br />CITY OF EVEAETT IOCAL tALEB TA]I CODC IS 7105 <br />I hereby cerilify that I have read end ezamined thk �pplicetbn and know the sema lo be trua ond cortect. All provlsiona ol lews and <br />ordinacea poveminp thle lype of wodc will be compned wilh whelher epecilied heroln or nol. The OrenNng ot a pertnit does not prasuma <br />ta giva authority to violale or cencsl 1M provicbn ol any olher steN or local Vw repuldinp conetruction or lha pa�lortnanca ol <br />conslruction. Thel I am eulhorized by the owner ol thia property lo parform the work for whkA app�icetion ia made and I compty wHh Ihe <br />Stale Contracto .� w�yy� CW and 286.200 WAC. <br />t(�.,�.��J!��S /0-9-Oi <br />