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Dec-28-10 03:19P <br />PERMIT AP'PLICATION <br />CITI�" OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET', EVERE7T, WA 98201 <br />425 257-8810 — FAX 425-2E�7-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCE:PT[cD FROM 8 AM TO 4 PM <br />P.03 <br />SITE A�DRESS PAFtCEL TAX I.D. A PERM�7 # <br />p �c7ti .�"7` Scv —�. �'' �ai a - �Fa <br />LEGl� LOtNO.� BIOCK TRACTORSU9DIVISIONC � ���� <br />UESC. <br />OWNER ADDRESS CIT'21P PHONE � �— <br />.�1 �_�� ��,S��J`%SCU P z� ��Z>.-.�yc� ���y.. <br />TENANT NAME I CONiACT FOR PERMR PHONE <br />-�.�-- E-MAIL <br />ci ' p bNE <br />��//n.�r SS'�5' t� S'r�w�<< ��O% ���..Z�`�.� !�1 y`� 2.5'�1� 2.,�G� <br />C TR. LI ENSE M <br />��� /�i{��i S' rJ a/ Z/t' Z h`/a. `fi� 9R'l n/ <br />USE OF eUiLDING I HE�4T SOURCE � CONTRAC7 PRiGE OF WORK <br />� Electric � Gas _ Other <br />WORK OESCRIPTION <br />�•�%SS /TCg f�di<+� Li./ / �L Do�yn� JL. <br />� r� <br />N0. � TYpE OF FIX7URE OR ITEM <br />Tuilr.l <br />dathtub <br />Lavatory (w2sh basin) <br />$howcr <br />Kilchr,n sink & disposnl <br />Dishwashnr <br />CloUies washnr <br />Waler he�tcr <br />Sink (sorviceN2dmoplot�.) <br />BackOnw prevenler <br />Uriml <br />Drinking Fountain <br />Ploor drain <br />Gre2se �ra� <br />Roof tlrains <br />Other ,_ _ <br />NO. � TYPE OF FIXTURE OR ITEM <br />_� aC - air handliny units <br />, Forced alr syslems <br />` Gas piping <br />^� Watnr healer <br />, Gas fireplace <br />Gas ranqe <br />� Clathos dryer <br />� Ranpe hood <br />E�chaus! fan <br />� Haat pump <br />Unit hp2�e� <br />Boiler <br />� Rofrigeration <br />� `Noodstove <br />_ Ocher <br />CITY OF EVERETT LOCAL S4�E5 TAX CODE IS 3705 <br />I heroby r,yritify Ihal I havn read and examinr.d this appllcalion and Icrqw the seme to bo t�ue and cvrter.l. All provisiuns uf laws �nA <br />ordinaces gov�rninp Ihis typc of wprk will be compliad with whelher spocifinA he�ein or not 7ho gr2nGny of a pnnni[ does nul presumu <br />to c�ivp �Nhvrity to viola�e or c�ncr.l thr, provislon o( any olher 5121e or Ivcal Iaw regulaling construclion ur Ihe performance o( <br />conctrur.tion, Thul I am a�iihorited by tho owner of lhis proporty to Fedorm lho work tor �yhich application is made and I comply wilh the <br />SL•itc Confrac ' Law 1H.27 RCW and 2�JG.�CO WAC. <br />�'"-�-1� � . � <br />_ �•- /� - � ;� i� <br />SiqnnWre of OwnBriCunlrac�orlAuthu�lzed Agent ` Date <br />