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�'.�.21. �i113 3:§7PM <br />� :z <br />Vo. 1oE� <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CE�AR STREET, EVERETT, WA 98201 <br />425-257-a810 -- FAX 425-257-8857 — www.everettwa.orc� <br />APPLICATIONS AFiE ACCEPTED FROM 8 AM TO 4 PM <br />ICSS <br />arak�d f�,l� Ev Yv� <br />LO7 No. ULOCK <br />DESC.r � <br />�OW ER <br />t1 � 1 � d��'t,r'l�,►tG� <br />TENANT NAR1E <br />cmH�a nql��c� <br />CONTR�I�i 5�.� 09 <br />�,� <br />USE OF BUILDING <br />\NORK DESCRIPTION <br />�e,,pi a,c�. q�� <br />� PARCEL 7AX I.D. • <br />TRACT OR <br />ac���� <br />I CONTAC7 FOR PERAIIT <br />ie <br />��i5 Br uxu� �v�e,reit q <br />iR�- <br />I HEATSOURCE <br />V Eleclric _ Gfls _.Othet <br />� � �. W�� <br />NO, I TYPE O� FlXTURE Ofl ITEh1 <br />Balhiub <br />Lavalory (wash hasln) <br />� ShOwCr <br />Kitchen slnk 8 disposal <br />Oishwashor <br />Clothes washor <br />W ater hea�er <br />Sink (servlte/badmop/otc.) <br />Backllow preventer <br />Urinal <br />Diinicing Fountain <br />_ Floor drain <br />Qrease irap <br />� Roof drains <br />OlhCf <br />PERMIT# ( � � <br />i_ �I_ G ? � � . <br />�I <br />►�25Z5�11ofo610 <br />CONTRACT PRICE OF woMn <br />N0. I TYPE OF FlXTURE QR ITEIA <br />AIC — air handling units <br />� Forced eir systems <br />Gas p'ping <br />� Watar healet <br />Gas (ireptace <br />Gasranpe <br />Clolhes dryer <br />Range hood <br />Exhaustlan <br />Heat pwnp <br />Unil hoaler <br />Boller <br />Refriperetion <br />� �VoWslova f Fl � <br />� Other <br />CITY OF EVERETT LOCAI SALES TAX CODE IS 7105 <br />I hereby ceritily that I have read and examined Ihis applicntion and know the same to be Irue and torrocl. All provisions of laws and <br />ortlinaces poverning this rype ot work wlll be Comptied wilh whether spacified herein or nol. Tho granling of a permll does not presume <br />to pive authority fo vwlate or cancel tha provieion ol any other slate or local law regulalinq conslructlon or Ihe pedormance of <br />construction. That I am authodzed by tha owner ul ihls property to pedorm the work for which appllcatlon Is made and I comply wIU� tho <br />m..�„ c..��.���n.c � �w 1A27 RCW nnd 296.200 WAC. <br />