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Jun. 25. 2012 8:44AM No. 4412 P. 2 <br /> � � . <br /> PERI�AIT APPLICAT�ON <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVEFETT�WA 98201 <br /> 425-257-8810—FAX 425-257-8857 -www.everettw'a.org <br /> APPUCATIONS ARE ACCEPTED FROM 6 AM TO 4 PM <br /> SITE ADDRE38 PARCEL TA7(I.D.• PEHMIT II <br /> 2 G G 8 ZOf�-03 <br /> LEGA LOTNO. BLOqC 7RACTORBUBDMSIONR <br /> DESC. <br /> Mar�nq MG 'b� sa"'� °1s a�Q`� .� 331 562.7 <br /> TENANT NAME CONTACT iOR PERMIT PM�� <br /> � t�a� �2.5 2SF �ublr�b <br /> CMl�leq ncl (MC, ►�15 �roadwa� Evu�1�1' W1� q�11a1 425 ?,� (o(o(o(o <br /> conrw.��c�H�r <br /> I�SE OF BUILDIN6 HEAT 80URCH CONTRACT PRIC!OP WORK <br /> _Eiectric �u^anor <br /> 3b 92 r <br /> WOPK DESCRIPTION <br /> C�w�.xJ qQs � �Y�Q-�✓ <br /> V <br /> UMB M ANICA <br /> No. TYPE OF Fl)ITURE OR REM NO. 7YVE OF Fl1(111RE W1 ITEM <br /> Tailst A/C–alr hpndlinp unNo <br /> r 8alhtub � Forced air systema <br /> _ Lavatory(wash basln) r aas piping <br /> Shower _ Water heater <br /> � Kitchen Qink R disposal _ Oas flreplace <br /> Dfthwnaher Gas renye <br /> Clofhes�raeher _ Clothef tlryer <br /> Water h�ater _ Renge hood <br /> � Sink(serviCelbarlmoplatc.) _ Exhpuet lan <br /> J BacMlow preventer _ Heat pump <br /> Urinal _ Unilheatet <br /> � Drinkin0 Fountaln _ Poiler <br /> � Floor drein _ Refrlperatbn <br /> _ Grosuetrep Woodstev� �Q� <br /> ROof drelns ,� Other <br /> Olher — <br /> � Q17\OF EV[R61T LOCAL 6ALE9 7AX CODE IS 7106 <br /> I here.y ceritify that I hava road and examined this appiketion and know the sem0lo be true end carred. All provisiona Of laws and <br /> or�lnao�.s poveminp this type of wo�k will be comp�isd with wheth�r�pecified INreln a nol,The granBnq d a pertnit doea nol presume <br /> ta plve aulhority to violalo or cencel th�provision ot any other state or loeal law xguMtinp conswetlon or the penormanee ot <br /> construIXion.Thot I am authorized by Ihe owner of thie property to pertorm the weAe for whlch applicat�on�s made and I compty w�tn the <br /> S6He Contraclors Law 18.27 RCW and 2962C0 WAC. <br /> ���r,h,o . �, •aa��a� <br /> STnew e ot wner �nt roN uthonze�nt ate <br />