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OrT-6-2011� 20:40 FROI9: <br /> TD: 14c5257Z857 P. 1�1 <br /> PERMIT APPLICATIUN <br /> CITY aF EVERE77 PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810-FAX 425-257-8857 -www•everoriwa.org <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br /> SITEADOOR�S � PARCELTAXI.D.�I PERMIT# <br /> S�"i Q C)�! C� 1 ,1C�Z� v �-3 <br /> LEGnL LOTNO. BLOCK TRACTORSUBDIVISIONi1 <br /> �ESC. <br /> OWNER ADOR[SS CITV2IP PHONE <br /> S�wr �lAloih rt .��ear.�-e, fo�`i a��.�SG �U��d� <br /> TENANT NI1ME �— I CON7ACT FOR PERMIT PHONE <br /> [�7dAll <br /> N <br /> ����iXt',�.Qe>r�l6x�ng �-LL I.v Euaic�ite�w�y �#} �"Vw�.�J �tZS aSa- (�O� <br /> CONTR.LICENS[td /, <br /> .� <br /> t1SE-OFQUILDING I HEAT 5 RCE I CONTRACT PRICC- OF WORK <br /> CloGric �Gac Othor �� i 1 W �C J <br /> WORK�ESCRIPTION ^ . <br /> ---�—��-� l�C� � rna � "� G/� � MECHANICAL <br /> PL 81TG <br /> NO. 7YP[OF FIXTURE OR ITEM N0. TYPE OF FUCTURE OR f�EM <br /> 701101 NC-olr h�ndling unite <br /> ^ Oathlub � Forcod eir syslome <br /> Lavalory(wash bosin) Gas piping <br /> -� Showar _ Watorhealor <br /> Klch�n eink&disposal _ Gas firepiac9 <br /> Diehwashor Gas rango <br /> Clolh�s waoher _ Clolhos dryer <br /> Watar hoolor _ Range hood <br /> SInK(5orvlce/Der/mop/otc.) [xhnust fan <br /> packflow provonlpr _ Neel pump <br /> Urinal _ Unll honler <br /> �� Drinkinp Founlain __ Boilor <br /> � Floor draln _ Rofrigeration <br /> T Gronsotrnp Woodstove <br /> + Roof dralns � Olhor <br /> Olhor — <br /> CIIY OF EVERE17lOCA1.SAlGS TAX CODE IS�105 <br /> I horo6y cadti(y Oiel I hova road nnd oxamined this app�icalion and know tho same lo be lrue and corcoCt. All provisions of laws end <br /> ordlnacas Qovoming thls rypo of work will ba compllod with whother spocifiod horoin or not.Tho pranting ot o permlt dons nat prosumo <br /> lo givo nuthoAty ta vlolato or canccl Iho provlsion of any omor state or local Inw repuietinp construcUon or lho porformancn oi <br /> constructi 7hat I am aulhorized by tha ownor of lhis proporty to perform tho work tor which npplication is mado and I comply with tho <br /> Stoto nlra ore Law RC� nd 280.200 WAC. <br /> - �6'l1 <br /> Si atura nodC ctor ulliodzoa ngent eta <br />