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09/29/2010 14:13 4253354226 RIC�7-IT ON FEATING PAC� 03/03 <br /> � <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 96201 <br /> 425-257-8810—FAX 426-267-885�—wvvw.eyerettvva.org <br /> APPI.ICATION3 ARE ACCEPTED FttqM t I11y�TO 4 pM �p ��q�I V <br /> 81TE ADORES9 P RCEL TAX I.D.+► P6RMR• <br /> / osR� �w,� e6 39� o// aa ���y- a� � <br /> � wT�. s��K ne�ct ae nueommon r <br /> �s�. � � a <br /> e te `�fr/en S' o v PD 8ex aa�P6 Sea�e. <br /> TENAN7 NAME�,� oR�%N9 S u ;o ��TACT FOR vERM1T ��E,f/�- cr7/-,3�,�� <br /> e�je�'f' � s I Qennis /,�/ eR <br /> �� <br /> i Da f�ea f'� .ta/ . /3/%!fr NE Le�'�Sfrv�ns j�.4S-33S= � <br /> �'�.�. G ��( 9P8� ivl 98.ts8 <br /> U8E OF BUILDINO HEAT SOURCE ���CT pRICE OF WW�K <br /> � O IYjIY��I(L�/CLl `El�ctric ✓Oae_Other 3QQ <br /> WORK DESCRIPTIppI • <br /> �c�s p,� ;n�, �'o n�r,� irtefe�e 6c;.�� a.d►6�t�1 by PsE . <br /> PLU BING E NIC <br /> NO. 7Y PE O�FlXTUIIE OR tiEY NO. M[OF FUfT11RE OR ITSM <br /> _ 8�� � A/C–air harWAnp unRs <br /> .: lawtory(wuh besin) Foroetl�Irsystems <br /> ._. Sho�� � o..wa�a s�� d�/o�, <br /> � Kitch¢n sink&diaposat — W���°�er <br /> DishWesher ._ ��hflpiec� <br /> ' Ctothes washer � 6a'��� <br /> WafBr h�Ater _ Cbtfw dryer <br /> � Sink(serviceibar/mop/etc.) � Ranpe hood <br /> _ Backflow preventvr --_ �ouu�en <br /> _ Urinel �_ Heat pump <br /> _ Drinkinp Fountein _ Unit heaW� <br /> _ Floordrain — eoiler <br /> _ cnax trap — Re�ao�ation � <br /> _ Roofdrains — WOOd°� <br /> _ Other s OtMr 41 G L'/( <br /> Grv of evERETr�ocA�suEa r�lc CooE n itaa <br /> I hereby oertily fhat I have nad and examine.w this appiication and know Uy eem��p ye�and cprteet q�l proviNont of Ipyy6 and <br /> ordinances goveminp this lype oiwork will be comp��ed witry w�Ct��r spei,ifled henin or nat.The g�p�ynp of a penn(tdoes not prosurtw <br /> m pive autnoriry to violece or canoel th�provfalon vf�ny otlier ata[e or local lew ropuleting construcUon or the perforr�ena of <br /> construcUon.That I em autho�iz�d by Ih�owner of this pr�pery�p perfarm tl�e wor�ror which applieaqon in mpde end�compy wMh th� <br /> Slets Contractors Lew 18.27 and 298.200 WAC. <br /> S eNre of Owner/Con ractoU o .�, �a 9^�O <br /> ae <br />