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Dec. 8. 2J11 1:40AM . No. 2053, P. 2 <br /> ( <br /> —� <br /> PERMIT AP�LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 96201 <br /> 425-257-8810— FAX 425•2b7•8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDR8S3 PMCEL TAX I,D.R PERMIT/ <br /> 9b24 .SYY�ro n Dri t� �+rc1t' 1 \ � � -O 18 <br /> LEOA I.OT N0. BLOCK 7RACT OR SUBDIVISION N <br /> DESC. <br /> RamonFvancisc.� �it�a� sl�►a„ �r Ev�r�ttwA-qB2oy� cooy 58g �i �o <br /> TENANT NAME CONTACT FOA PERMIi PHONE � <br /> 1}Z5��1 fofav b4� <br /> Rcsa�na Rea�her- �►� Oe.bb+e, E�,., eecmhca�na. <br /> �� Gm �in9 Inc„ ��}l5 8madway EVe.rett �tBZoi 42525A�6 <br /> CONTR.LICENBE/Grn���Qn�� <br /> '1 <br /> USE OF BUILDINO I — HEAT 90URCE I CONTRACT PRICE OP WORK <br /> E�ectric ,�Gas_Olher 28�'J <br /> WORK DEBCRIPTION <br /> �YlS�4 �I A W OOG� � YISP��'� <br /> L BINO HANIC <br /> N0. 7YPE OF FlXTUIIE OR ITEM N0. TYYE OR Fl%TUqE�.,ITEM <br /> Tailet � NC—elrhandBnOunRs <br /> _ 8athtub � Forced alr eyit�ms <br /> ____ Lavarory(wnsh bacin) _ Ou piping <br /> Showsr Water heater <br /> _ KilChen eink 8 dispospl Gae fireplace <br /> ,_ Dishwesher , Gas range <br /> � Clothes wp�har � Clothes dryer <br /> Water heAler _ Range hood <br /> Slnk���rviCdbadmop/etc.) Ezhaust fan <br /> Backflow pnNnter _ Heat pump <br /> Ulinal Unit h00tsf <br /> _ Drinkinp FounMin BoUer <br /> _ Floordra�n Refriyoralion <br /> _ Greasetrap � Woatictow �f�5t�^� <br /> _ Root drafns _ Other <br /> ` Other <br /> CITY OF EVHRiTT LOCAL SALEe 7AX CODE IS 7105 <br /> I hereby ceritlfy�hpt I have read and exomined this epptkallon and know thp sAm�lo Ce true and Correct. All provitlons of lewa end <br /> ordinaces governiny this type ol work win bo complied with whather speclfied herein or not.The gronlinp of e permlt doea not presume <br /> to flive aulhodry to violale or cancel the provision oi any other ZtotQ or local law rogulaling conetruction or lha per(ormence of <br /> conslructlon.Thal I am pulhoriz�d by lhe owner of this propeny to peAorm Ihe work tor�vhich application Is made and I comply with the <br /> Slate Cpntractors Law 18.27 and 298.200 WAC. <br /> �2bb�2 C 12��'I_ I <br /> SiBnatur o OwnCrl onlra Ihon'zecl A a�te— . <br />