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From:IMAC INC. <br />•�� <br />To:914252578857 <br />( <br />01��6/2012 09:08 k930 P.002/003 <br />PERMIT APPLICATION <br />CITY OF EVERETT P�RMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.evereriwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AIA TO 4 PM <br />� �Oc�,u� �Ile.�eA <br />�or No. e�ocK <br />�✓��Tr�usiNG �rr��'; <br />7ENANTNANE <br />� ��' <br />, /ti(G <br />coKn+.ucase. i,Ltf�eZ+""'Cj�BF} <br />USE OF BUILOINO <br />PARCEL TAX I.D. • <br />rn�cT oa eusorv�oN e <br />- 27i5 �5'�''.f <br />iTACT fOX PElIMR <br />�a6��2 <br />�� � <br />r • vzs-3o3 -as <br />f:: [�.: i� <br />36d <br />Slu� 70/� <br />MEAT SOURCE I CONTRACT PRICE OF WORK <br />�Electrlc ✓Oea_Olher <br />WOHK DESCRIPTION /ihS�c�GL r}e...� �.r s,y��Ur-�' ; Ar'cx�iiL' .y�J coP� <br />/�.vc-s fo a.cc, �•k-Y�'� C� ,s�.-�ac,��D cvP�i aF•swRs- u�' wo.n,c. ok�i9-z� <br />ND. � TYPE OF FIX7URE ON REM <br />BethWb <br />Lavatory (waeh beain) <br />Shorrer <br />FOIcMn slnk 3 disposal <br />DlsMvsah�r <br />CbMes watMr <br />Water heatsr <br />Sink (servkx/bedmop/otc.) <br />Backllow p�eventer <br />Urinal <br />Drinkhp Fountain <br />Fbor drain <br />Oresce hep <br />Roof drelru <br />onre�_ <br />NO. I TYPlOPFI%iUREOpR:II <br />ivc: — au nuaiwq un�n <br />FotCed ak eyslems <br />Cias plpinp <br />WWor Mater <br />ci.s rtnp�ecs <br />(ias rarps <br />dothas dryer <br />Rerqetaod <br />6d�eust tan <br />Heal pump <br />Unk heeter <br />Boikr <br />Refriperatbn <br />Woodetove <br />a�� <br />cm �F Eve�rr �oc�u a�Es r�x cooE ro aioe <br />I her�y ceritity Ihsl I have read and exemined tlnls appliqtbn end know the e�ms W 6e hue �nd correU, pll provhbns ol lews and <br />ordinaces povominp thie type of work wlll be com�lfed wiM whether :pecHbd herein or not, TM QranNrp o1 a permR dou not presume <br />to pNs euthortty to vblats or cancel the provislon of eny otMr clets or bcal yw repuletlrp construction or tM per(ormanq ct <br />constructtan. That I am authorized by the owner ol thia p�operty to paAorm tM work tor whkh app4eatlon �s mads and I comply with Ihe <br />Stale Contraetorq,�w t829ACW end 288200 WAC. <br />/-�G �?o/�. ��cJofl <br />.,�--- <br />