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Jan. %. 2014 9 : 14AM tio. 13"18 P. 2 <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERE7T, WA 98201 <br /> 425-257•8810 -FAX 425-257•8857 - www,everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 FM � � 7 ,. � (� <br /> SITE AODRESS PARCEL TAX i.D.C ' PERMIT p <br /> S �l ' q g?�o I /lil I ( - 0 <br /> LEGAL LO N0. BLOCK TRACT OR SUBDIVI910N q <br /> �ESC. <br /> OWNEH � UHESS CITY/ZIP PHONE <br /> �er�r�e ha.rd-� �nmo. aS ��� 425 273 y0'`�1�� � <br /> tENANTNAM[ ' CONTACTFORPERMIT PHONE�Z� z�!'' - '(L•�[) <br /> ` - I I.r�IJ�I�P.._ �--�ITY�.MAI�reL�UE�V Cm����l��• l`:l;l <br /> • CmN�a r�q inc. ��hi5 �ir«dux� �e,rett q87.c�� �IzSz`�f���;l� <br />. CONTR�LCE SE .l_ O R <br /> 7�� <br /> USE OF BUILDING HEAT SOURCE CONTHACT PRIC[OF WORK <br /> �EloClric _Ges�Olher 5�7 3 ' <br /> WOAK OESCRIPTION � � <br /> \hS{'�J� �c;�1t55 I�RA� P��� <br /> PLUMBING MECFIANICAL <br /> t�0. 1YPE OF FlXTURE OR ITEM N0. TYVE OF FI%TURE OR IT[M <br /> _ To��et � NC-oir hanJiiny unit; <br /> _ BathWb _ Forced alr syslems <br /> _ Lavatory(wasn basin) Gas plpiny <br /> Shower , Waler heater <br /> _ Kilchen sink 8 disposal Gas 6replace <br /> _ Dlshwash�r ,' Gaa renge <br /> _ Clothes v+axher _,__,_ Clolhes dryer I <br /> Wa�er heeier Ranqe hood <br /> _ Sink(servicel6admoplalc.) T Eahausl lan <br /> _ Backllow preventer � Heat purnp <br /> � T, Urinal Unit healer <br /> y Drinkinp Founlaln Bollcr <br /> � Floordrain , Rclriperalion <br /> _~ Oroa;e trap Woodslove <br /> _ T Hoold�ains � Olher <br /> O�her <br /> CITY OF EVEqE7T LOCAL SALE$TAX CODE IS 9105 <br /> l hoioby ceritily Ihal I hd�o read and examined Ihis application and know Ih�same to be irue and wrrocl. All provlslons ol law,and <br /> o�Jinaces flovernmq Ihis typo ol wotk will be compl!ed with wholher spr,cified heroin ot not.The granlinp ol a pennli does not presume <br /> to�Ivr. aulhoriiy lo holatr.or tancel Iho pravision ol nny other sWlo or local law repulaUng coneln�clion or Ihu por(ormnnce ol <br /> con,lruction. Thal I am aulhorized by Iho ownor ol Ihis property l0 pedorm Ihe work(Or which applicatlon i,made�ntl 1 comply v,ith thu <br /> Stale Conlraclors Law 18.27 RCW and '196.200 VCAC. <br /> . <br /> — � � <br /> Slgnatu o nedCo actodAuthc i llgent Dalc <br />