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Ju1. 28, 2011 8:47AM No. 0116 P. 3 <br /> � <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERPAIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> A25-257-8810- FAX 425-257-0857-www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � `�,g `�� <br /> SITE ADDqESS PAHCEL 7N(I.D.M PERMIT A <br /> 1 �( 07�5 <br /> LEGA LOT NO. BLOCK TRACT OR SU9DIVISION A <br /> OESC. <br /> O S CiTYZP <br /> Kevih �"�W�X' SC�t�te.., �820g �425 ��foq3?I <br /> TENANTNAMB I CON7ACTFORPERMIT PF10NE ��� 7G� ��`� <br /> 17ebb� ��J <br /> � <br /> e.�a� <br /> CM }�n InC. I�}�5 t3roaduX�,� �It,{�,H' QS?.+41 �F2525q fob�ab <br /> �N,�.���fi��. N�p�� �oq5R�1- <br /> U9E OF BUILDINO HEAT 30URC8 CONTpACT PRICE OF WOIiK <br /> �Eleciric _Gas_Other q�'� •OQ <br /> WORKDCSCRIPTION �1r1StQu �Q P��.� � A�r +�nd �-+'' <br /> PLUMBING MECHANICAL <br /> NO, TYPE OF FlICTUFE OR ITEM N0. TYPC OF FlXTURE O!I ITEAA <br /> Toilpt A/C—air handling unita <br /> Bathtub V Forced air sys�ems <br /> Lavatory(wash basin) Gac piping <br /> Shower Water heater <br /> Kitehen sink R disposal Gea tlrepiac� <br /> Dishwesher Oas rd�9� <br /> _,,,_ CloihCs wEaher Clothes dryer <br /> Waror heater Ranpe hood <br /> Sink(servicelbar/mop/etc.) E •haust(an <br /> Backtlow preventer ,� Hn t pump <br /> Urinai Untt heater <br /> Ddnkine Fountain _ Boiler <br /> Floor drain fieftlperation <br /> Greese trap Wood t vo n l� <br /> Rooidralns � Other Ytab�G� t*�r �ra��� <br /> Other <br /> CITY OF HVBRfiTT LOCAL SALE6 TA1C CODE IS 9105 <br /> I hereby cerility that I have read and examined Ihie application and know the same to be true and correq. All proviWone of laws end <br /> ordinaces 0overning this lype of work will be complied with whelher specilied herein or not.The pranl�p ot a permit da�not preaume <br /> to give aulhority lo violate or cancel the provision of any other stete or local law repulatin0�nstructlon w ihe performence of <br /> constructlon.That I am authorfzed by the owner of thla property to parform the work for which appllcatlon Is made and I oomply with the <br /> State Iractors Law 18 ' RCW and 296.200 WAC. <br /> �1P,bb� c 7�2g •Il <br /> S�IQnat eofOwqer/ on Ctoq WhO��zp 1 — at� <br />