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Dec 10 09 06:46p Washington Water Healers 4255726781 p� <br /> t <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES � <br /> � 3200 CEDAR STREET, EVERETT, WA 9(32py <br /> 425-257-8810— FAX 425-257-8857—www,everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> + SITE qDD ES <br /> � � � ��`��,,C� f��� PARCEL TN(I.D.# + PERMIT# <br /> LEGl1 LOTNO. � \ C� U�3`����a-C�����1�() I h� y/� O/�. <br /> DESC. B��K TRACT OR SUBqi'.ISIDN i! <br /> OWNER <br /> ADDRESS CITY2IP <br /> �, 1n � �� ,n r,y t �^ „I �`p �^ e 1' PHONE � <br /> iw�. C 1,1.\ 1�,�.. I�lJO ' I�lL�l17YC� .�'�i1'�{�' p�M G <br /> TENANT NAME y'�,J'z J7�� <br /> OP�TACT F q AERMIT �S G <br /> � r /� � PHOt1E�OV'�I�p � ^ ,�� <br /> � f � CLCC�I �GC.12I�IS e-MNi.hbfiUCLfC1��I�UZG CC [uj . <br /> coGU flS�I�UGr�n1 6v/�-i E2 K/�4•��noon 1 S�U 2.IP1aC� s ' � Ho - <br /> CON77�.LICENSE ; <br /> &uc �C t� 011—G�— C�; <br /> .____te�� 9s,� oP /a�ll��tc� r,U�z. 9�'va, F�Si�S <br /> USE OF BUILDING <br /> HEAT SOURCE I CONTRACT PRICE OP WORK <br /> �na-�-"L I [ _Eleclric �S_OU�er ��� � <br /> WORK OESCRIPTION <br /> �,l�,c;.ti,�� u�,�— l c�.��� ��v�.-�t I-����.�� <br /> 1 PLUMBING <br /> ' NO. TypE OF FI%T71qE OB 17EM MECHANICAL <br /> NO. TY{+E OF FIXTUFiE-OR RF-A1 <br /> _ Toile( <br /> ._ 9aihtub _ NC—air bandling units 'I <br /> _ Lavatory(wash 6asin) _ Forced air systums <br /> _ Shuwcr Gas pipinp <br /> 1 _ I<itchen sinh 8 dispo�al �— Water healer <br /> _,_ ❑ishwasher __ C�as firepla[e I <br /> _ Clolhes wa;her ._ Gas range <br /> _ Walcr healer _ Clolhes dryer <br /> . __ Sink(,crvic�Jbv/mop/ctc.J _ Ran�ehood <br /> _, Oackltowpreventer cxha�sllan <br /> _, Urinal _ Ileatpump <br /> _ Dnnking FounWin _ Unit hcatcr <br /> f-loordr�in _ 8oiler <br /> _ Greasetrap _ Re(rfgoration <br /> i � Roof drains = Waodstovc <br /> ._ Olher�_ _ Other <br /> �----�_ <br /> f — <br /> I CITY OF EVERETT LOCAL SALES TA7C COOE IS 3105 <br /> II hereby cerilily Iliat I havc read and ex�mined this,ppiicalion and kno�v the same to be true 2nd conecl. All provisions c�Iaws and <br /> orclinar.es poveming ihis type ol�vork�eBl bo complied�vith ivhether specilied he�ein ar not.The granting o1 a permit does not presume <br /> to�i��e authorip•Io vioi�;e or canccl Ihe provisfon ol any other stato or Ioca1 law regufati�x�conslruction or the pertormance ol <br /> censiruq ion.Tha!I am auiiiorized by the vner of this prope:r � o pedorm Ihe work for which I <br /> � Stalc Cerllr ctars Law, 8.27 RCL1'an � � a�p icatbn is made and 1 comply r.�lh 1he <br /> S� � , 2�6. CO VJAC. / <br /> ---����%.�tl�,�,� �t��, ��� '`; r!-z�-�� <br /> I Siynaty c ol�wneriCartracforlAu; anzed Ac,ent � <br /> L/ Date • <br /> I . � <br />