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FROM :Ever9reen Stdte Heat & R(� FAX N0. :4252596660 <br /> Jdn. 14 2008 09�04AM P1 <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 320��CEDAR STREET, EVEREI"f, WA 98201 <br /> 425-257-8810—FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> $ITEADDRESS PARC6LTAXl.D.M I �PE1th)I;N <br /> /m 0.4�Zs' vE �� 00/ - vaC� <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRE98 CRYIZIP PHON <br /> �n�. aJS /O/6 DA,�S /� `Vti- ��O/ �/?S�9's- Z+S <br /> TENANTNAME I CONTACTFORPERMIT PHONE <br /> CONTRACTOR AODRES8 CITYILP PHONE <br /> Et.�nG� s:. sita�i•ws� z1�,o P��f•� � <br /> CONTR.LICENSE N pi �8?s/ � -,Xl�?//Si <br /> �7L6Ssoa�� ---- <br /> USE OF BUILOINO NBAT BOURCL CONTRACT PRICE OF WORK <br /> /�Sl j�t7v��- .�eiao�rio �aa_ocnor ��o/Op = <br /> WORK DE9CRIPTION <br /> J,�,s;�c� �S ,�ir,v..v.9��, ��t 1�-,�%� , ���i, GA-s P�/�`" <br /> PLUMBING MECHA ICAL <br /> N0. TYPE JF FIXTURE OR I7EM N0. TYPE OF FIX7URE OR ITEM <br /> Tollet _ NC—alr hendling uMts <br /> 9athWb Forced alr ayslema <br /> Lavetory(wesh basin) Gas plpinp <br /> V Shower Water heator <br /> Kitchen sink 8 disposal _ Des flreploce <br /> Dlshwashor _ �aSfen80 <br /> Clothes wosber ,y Clothes dryer <br /> Leundryfrey _, Rnnge hood <br /> Sink(sonicnlbndmoplota) _,... Exheuet fan <br /> DeckOow preventar _ Heel pump <br /> Urinel Unit haeter <br /> Drinkinq Pountnln , _ Boilor <br /> Floordraln ,_ Retrlperation <br /> i Granse trap _ Woodctove <br /> Roof drains _ Othet <br /> Othor <br /> ' C�TY OF EVERETT LOCAL 9ALE4 TAX CODE IS 7105 <br /> I heroby ceritify lhal 1 hnvo rend nnd examined this appllcatlon and know tho aeme lo be true end correct. All provislons ol laws end <br /> ordinecas govarning lhls type of work wlll be coinplled with whether spacified heraln or not.Tha granting o(a pertnit does not Dresume <br /> to glve authorUy to violate or cancel the provislon of eny other state or local lew rogulelinp cansiructlon or the parformence ot <br /> conslruc' .That I am outhorited by the ownar ot this proporty to perform tha work for which applleation le made and 1 comply with tha <br /> Stat ontr� to�s Law 10.27 RCW and 299.200 WAC. <br /> �� y og _ <br /> Slgnoturo o( wner/CoMrn or ut ionzeq Agenl — e��— <br />