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nF1{,A/JICAL- <br />PERMIT APPLICATION T-"r <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - vnvw.evereltwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />PARCEL TAX I.D. If J-I2V 9 di41LOOP <br />PERMIT a <br />2d02 WEIM IZf RYE <br />00434161,701100 <br />LEGA LOT NO. <br />BLOCK <br />TRACT OR SUBDIVISION? <br />Desc. LOTS 21 2t <br />L67 <br />5Ee IEhAL �e1uPfI0n1 OR SAEr-r Tn0.01 <br />OWNER ADDRESS CITY/2IP PHONE <br />TORT 6ARArJOL i' MkEes 2L10 tJE1hbPE PVC- F-t'EEETT- <br />TENANT NAME <br />CONTACT FOR PERMIT PHONE <br />j x11j.11G-re0 <br />TOUITY LUTRGC-A.0 CALLE6F- <br />JErr riIDOLETOAL 26L•L28-V3AJL INTeve-U5.)IEf <br />70"I AZT <br />r,IA( :nMLD h11LLE'-F.S. 771-f DE1RofT AVFS%J SEGLTTLE 9810b 2a-M-4283 <br />CONTR. LICENSE R <br />fnACmfS 9Bc1E1! 1�--31-0'� <br />__ <br />USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br />✓Electric __Gas _ Other 4 11 ZI OOO <br />WORK DESCRIPTION $o,3 alhtyt{-Caw pr Lere4 . Add I vAll, gcicll Ckm lL¢d W&CrGr Co Oro) <br />Vo kvim- O n V-t)c dlf& --oak ; -Z.d-wdrk p"- pt:..s. FL I : AjA I vAv Ad <br />9.pi^9 for clOii, i drLjeil waa eLhovff Fc. P/LtQ* e�1`0wr� Hood, I <br />typC I Cam. caste I uo {'kab <br />4of f klsaj-+ Fc.h FL 3L 4 ,aa <br />�No�o`[A <br />_?`Gf v.+m✓wl �,h.�. "`/,S S_u��S�g!1 �� t�Ll_11S--�W -11�r �� p.l�(�_ 10.z�S.-_-- � r__ <br />&CQ1 <br />PLUMBING MECHANICAL A,r <br />NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE Oil ITEM <br />Toilet <br />A(C - air handling units <br />Oalhtub <br />Forced air systems <br />Lavatory (wash basin) <br />I <br />Gas piping <br />Shower <br />_ <br />Water healer <br />+_ <br />Kitchen sink 8 disposal <br />Gas fireplace <br />Dishwasher <br />._I <br />Gas range <br />_ <br />Clothes washor <br />_Z <br />Clothes dryer <br />Water boater <br />_.j_ <br />Range hood <br />_ <br />(selvice/barfmoµretc.) <br />I <br />Exhaust fan <br />_Sink <br />_ <br />Backflow prevenler <br />Heal pump <br />Urinal <br />Unit healer <br />_ <br />Drinking Fountain <br />Boilat <br />_ <br />Floor drain <br />Refrigeration <br />_ <br />Grease trap <br />Rool drains <br />_K:Other <br />Woodstove <br />VAV A _'ELM1LJALS WINFAT15t <br />Other__________, <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby cerilify that I have read and examined this application and know the same 10 be true and correct. All provisions of laws and <br />ordinates governing this type of work will be complied with whother specified herein or not. The granting of a permit does not presume <br />to give authority to violate or cancel the provision of any other stale or local law regulating construction or The performance of <br />construction. That 1 am authorized by The owner of this property to perform the work lot which application is made and I comply with the <br />State Contractors Law 18.27 RCW and 296.200 WAC. <br />�&.cs.c_ `w--Wf. 1I-16-07 <br />' <br />slg7uro of Uwner/ ontractor,Autho ed Agent Unto <br />.e-C& <br />