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DE��-c�-2010 17:A1 FROM:C&M HERTING 425-745-1344 T0:14252576857 P:6'8 <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810— FAX 425•257-8857—wv+w.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FHOM B AM TO 4 PM /�—�_�_�v <br /> S�TE ADDRE35 PARCEL TA%�.D.R PER R C <br /> Z5i5 �=C-i2k�ND M.� Z`7Z <br /> LE6AL LOTNO. dLOqC TRACTORSUBDNISIONM <br /> DESC.� <br /> oWNER 400RESS CITYRIP MUNE <br /> ��i�ri n G Ci c�dGh I 2,5(`� EC�u�d � i%1/ 9g2�1 �2525g ! I Z{c_ <br /> TENANT NAME CONTACT FOR PERMIT �p MONF <br /> I ?.�1`✓le E��ZSY7 CofoE .6 <br /> , <br /> ������r �hc. f�NS P��a�o� Ew i8aoi � �s zs� 66c�s <br /> Cml��� o45�2U� <br /> USE OF UUILDING — HEAT SOURCE � CONTRACT PflICE OF WOHK <br /> Electric ✓Gas,_Gthar 3g -�J-$ � <br /> WORK D[.SCRIPTION <br /> �(o�.C�t �kS � rvtaClL <br /> PIUMBING CHAN CAL <br /> NO. 7YVE OF FlXTURE OR ITEM NO. tYCE OF FlXfURE OR ITEM <br /> Toliet A/C-ai r handting unfts <br /> � 6a1Mub ,� Forced air systems <br /> � Lavatory(wash 6asin) _ Gas p�ping <br /> Shower Water heater <br /> ^ Kltchen sink R disposal Gas fireplacc <br /> � pi,hwashor � Gas ranga <br /> Cloihes washer Clothes tlryer <br /> � lNnterheater Range hood <br /> Slnk(cervicc�badmop/etc.) � Exhaust fan <br /> ^ Rnr,Mlpw pmvrtnir.r Hn�t pump <br /> u UAnal _ Unit healer <br /> Ddnking Fountain Boller <br /> � Floordrain Retrige�ation <br /> � Grease Irap Wooqstove <br /> ^ RoofdrNns Other <br /> Othcr <br /> CITV OF EV[(iCTT LUCAL SAL[S TAX CODE IS 9105 <br /> I hr,reby cedtiy that 1 have read and ezamined this applicatiun arW know the same to be Irue and corted. Atl provisions of laws anC <br /> ordlnacac govoming th�s type oi work wiil be complied wllh whether specitled herein or not The granting of a permii does not presume <br /> to Glve euthoriry to violate or cancellhe provislon of any other state or local law regulating construction or iha peAormance of <br /> con�tmetion.That I am wthorized by Ihe owner of Ihis pmperty to psrform the work�or which appllcation is made anef I compry with tho <br /> Stata Contmclors Law 78.7J CW and 2962D0 WAC. <br /> t�-eb� r�.�c fa �ao � ia <br /> Stpnat�v ot— C�o tra oNAuthOriZetl I\g6111 Date <br />