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Jul-28-11 <br />08:33A� <br />P.O1 <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />CEGALl LOT NO. BLOCK <br />ONIN�R <br />Arr P 211 <br />I TENAN NAME <br />CONTAAC O C <br />C04 LICrNWM <br />,E I Al, 5 '' e-"yz L <br />PARCEL TAX I.D. 0 <br />TRACT OR SUBDIVISION 0 <br />✓jcj/r7. it-- CONTACT FOR FOR PERMIT <br />PHONE <br />-7ya���l <br />Wll <br />I; 07-0� <br />411 rIGlr�/ rrIVOG <br />Z 5 —�'7-'1 <br />USE OF BUILDING — I HEAT SOURCE CONTRACT PRICE OF WORK <br />J / <br />Electric ,Gas _ Other i �! :'/{� <br />WORK DESCRIPTION <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />nathtub <br />_ LavatOly (Wash basin) <br />Shower <br />_ Kitncon sink & dispusal <br />Dishwasher <br />Clothes washor <br />_ Water healer <br />Sink (srnvirelbadnwy/elo.l <br />_ H:ickfluw preventer <br />_ Lrinal <br />_ DrinkinU Fountain <br />_ Moot (Iraln <br />_ Grease trap <br />_ Roof drains <br />Other <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C - air handling units <br />Forced air systems <br />Gas piping <br />Water healer <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaust fan <br />Heal pump <br />Unit heater <br />Boiler <br />Refrigeration <br />WOOdstove <br />Other .-_ <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I rmml)y ccritity that I have read and examined this application and know the same to be true and correct. All provisions of laws nrld <br />ordinnres governing this lypn of work will be complied with whether specified herein or not. The granting of a permit does nut presume <br />to give nuthndty to violate or cuncel the provision of any other slate or local law regulating construction or the performance of <br />construction. That I am authorized by the owner of this property to perform the work for which application is made and I comply with the <br />State Confrnclors Law 16.27 RGW and 296.200 WAC. <br />