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02/13/2007 IO: IB FA7C �25 257 8857 EVERFTf PGRMIT SER�'ICES �001/001 <br /> . ������-F�--T�rj���.�Z��� •:,-ri � � '_` `v <: r '- ��' .�n�� rLi ' <br /> � �` ri � ns1 r '+R}tL�i�t"� M�ti Y� � � '.. ` . ' <br /> ..�, <br /> . . . . . . . � . ,_ . .. . .. .. , . . . � : ... .. <br /> PERMIT A�PPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREEf,EVERETT,WA 98201 <br /> 425-257-8810-FAX 425-257-SB57-www.evereriwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.�I PE��T� <br /> _ �� /'j�� �� <br /> , ., ., , . <br /> ,� <br /> LE LOTNO. BLOCK 7RACT <br /> DESC. <br /> OWNER AD CRY2M PH NE <br /> -�,�;�, j.,�, '7^%l '(�� /•- / /)� tr�� � r,- �i� r�%b�,�[.�i <br /> TENA►R NAME COHTAGT FUR PERMIT Pf10NE <br /> � '71 �0.�'� �'�.Ill� .f.�-� ����J � J��J ���� � <br /> cowrn�cTon �uortEEss �7 cinrziv �+one <br /> I'�.1i(i � � ' �11 ', 1 , ri�� 'I /}iri ,•., r(r ��/G//�17�� .��L� I� - Y)(.��tl�t��11(� - ��� 7 ''`����/ i`' � <br /> CONTR.UCENSE� � -� ' ;'�/r:/J. �i IFC�LS <br /> s'� � '>���- 7��.7 � ��) �l�y� '/ x '• ' � <br /> USE OF BUILDING I — HEI1T SOURCE CONTRACT?RICE�F WORK <br /> Ekctric _Gas Olher ,..! `"�� ` - <br /> WORK DE3CRIPTION ��r i`; 'I C' �c7< ('/�G i ,�i c'i i�l � <br /> PLUMBINO MECHANICAL <br /> NO. TYPE OF FIXTURE OR 17EM NO. TVPE OF FIXTURE OR REM <br /> _, Toilol AIC-alrhandlingunits <br /> Bathtub ,�, Foroed�r syatems <br /> _ Lavatory(wash bauin) _ Gas plping <br /> Showor Water heater <br /> � Kdchon sink 8 disposal _ G��� <br /> Dielnvashor Gea rerpe <br /> � Cbthes waslior — a0�d� <br /> Wator heator Range hood <br /> Sink(sorvicdbadmop/otc.) _ 6C�austfan <br /> Backflow preventor _ �B�P�mP <br /> Urinal UnN healer <br /> D�inking Fountein _ ��� <br /> Floor dra{n — R��� <br /> GreaseVap — W��Ve <br /> Roof draLis �� <br /> — anor <br /> CITY OF EVERETT IOCAL SALES TAX CODE 46 7105 <br /> I horeby ceritity lhat I have read and ezamin¢d Ihis applfcation and kraw the sama b be Wa and corted. All provisionn of lawe ond <br /> ortfinxos govomirq Ihis rype of work wAI be wmplied with whethor specified herein or not.Tho BranGng ot a permtt does nol presume <br /> to give autho�ily to violate or cancel Iha provisbn of any other stata or locat law repulatirg consWction w the performance o( <br /> constnc6on.That I am aWhorized by the owner ollhis property ro pertortn the work 1or whkh application Is made and I camply wilh the <br /> State Conlradors Law 18.27 RCW and 29fi200 WAC. <br /> + . , _ ; _ � � -i <br /> gneture of OwnedContrectodAuthorizod gent � a1e <br />