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SEP-2 -c^010 08:57 Frum: KINGS HERTING <br />�k��s .,�,II p�� � �� <br />� <br />4252755t54 To:1q252578857 Paee:l'2 <br />�-� - R�� � �h��,`^ <br />F'tKMIT APPLIGATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEOAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APP�ICATIONS ARE ACCEPTEO FROM 8 AM TO 4 PM <br />SI7E ADDR� , � <br />lEl'.AL LOT NO. � tlLOCK iR� <br />ULGQ � <br />O�NNER � <br />AD <br />�_�Y� +. � rt j a g r� - <br />7ENANTNAME �� I Co <br />�f�a�%�, ��c . <br />p <br />USE OF �UILUING <br />PARCEL TAl( I.D. 1! <br />B � <br />R 5 BpIVI310N a <br />P�'1' r7 r u � <br />i <br />�i��n�'��1� <br />f F(�R 7ERMIT <br />i S�ScU'°�C - <br />MEAfSOURCE <br />_ Electnc _ Gas _ Other <br />PHONE <br />WORK DESCRIPTION <br />.�-�s�a.�P du�..�s� m��; S.�P� f S-y��► <br />NO. I TYPE OF fIX7URE OR IiEM <br />Toilal <br />..._ 82IhIub <br />Lavalory (wash basin) <br />Shuwer <br />Kitchcn sink 3 disposnl <br />DiShwasher <br />Cbthes washer <br />Watcn c�atcr <br />Sink (5en�icelDar/moplelc.) <br />B3cklluw prevenler <br />Urinai <br />�rinkinq Founlain <br />Floor drain <br />Grease trap <br />Rool Jrains <br />Other <br />��C� <br />PERId1T # <br />n v.... c1 _,. <br />7s-57S <br />CON'I't2AC1' PRICr OF WORK <br />lo/�i7/� _ �� <br />NO. � TYPE OF FI%TURE OR ITEM <br />A�C — a�r handliny un�ls <br />Fo�ced air systems <br />Gas pipinq <br />4Vatcn c�atcr <br />Gas Greplace <br />Gas ren�e <br />Clolhes dryer <br />R�ngC hooU <br />Exhaustfan <br />../.. Haat�ump <br />Unil heater <br />Bailer <br />Relri[�eration <br />Woodslove <br />CITY OF EVERETT LOCAL SALES TN( CODE IS 1105 <br />I hereby certiFy that I have read ond examined �his applicalion and know ing sama i0 b9 true and corrocl. AII provisions nl I�ws nnd <br />ordinancas govaming Ihis lype of work w,ll be r,pmpl�ed wilh whether specifietl herein nr not The grnnting of .� permil Ooes nol preswne <br />In pivn eulhnrily In viql;�l9 pr c,anrel ihe provision ot any other stot^. or local I�w repul. ting construclion or the pcAotmance of <br />consiruction. Th�t I 3m aUlh0�iZ2 y the o�vner of this property 10 perform Uie work for which applicalion is made and I comply wilh lhe <br />Slate ConlracWrs Law 18.27 R nd '19G200 VJnC. <br />�`�li� ,�l /e , �rsi� 9_ �%,�s� <br />