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Jzn. 23. 2009 12:�OFN <br />SITE ADDFiESS <br />3�a � s <br />LEGA LOiNO. <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257•8810 — FAX 425-25�•8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� S t S�✓ <br />BLOCK <br />�Cl�n C (�'n <br />TENANiNAME <br />VVI�Il1MV�Vn �) G 1 <br />01JTIi SICENSE V�L1 y� Cou(� n� RY (.-��/r!c- <br />�-sN�,4r_�9392k <br />USE OF BUIL ING <br />s1:�9�G O�rtt��j� !"GS'f�Gt <br />PAHCEL TN( I.D. N <br />TRAGT OR SUBDIVISION A <br />�a � s� t^ <br />� <br />��� <br />N �/p _ <br />spq F nia�� S�r' nw�.-ne <br />¢8�t 7 � <br />HEA7SOURCE <br />� Elecnic _ GaS kOther <br />WORK DESCRIPTION <br />/jep(ctL-e �C�S-1'r;,9 l�eo�i- Pa.„p a�ol a,F ha1d%� <br />N0. I TYPE OF FIXTURE OH ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 3 tiisposal <br />Di;hwasher <br />Cblhes washe� <br />Waler heater <br />Sink (service/bar/mop/elc.) <br />Backflow preventer <br />Urinal <br />Drinkinp Fournain <br />Floor drain <br />Grease trap <br />Roof drains <br />Olher <br />yo.154i P. 3 <br />/ � 2-3 --� <br />PEqM N <br />�l �% <br />� <br />PHONE l/�s� 3� 3� � <br />Q � 'T <br />9Pd03 v�,�8 <br />`�ds-�7r-o3�s <br />� <br />�rra..,,� � �s�i�v �. _ � a <br />vtior+e '— <br />9�0-79�-73 <br />fTRACT PRICE OF WORK <br />17 3- OQ <br />NO. I TVVE OF FIXTURE OR ITEN <br />�—airhandlin uni <br />Porced air sy�tems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Eahaustlan <br />Healpump <br />Unit heater <br />Boiler <br />Ftefrigeration <br />Woodstove <br />Other <br />CI7Y OF EVERET7 LpCAL SALES TAX CODE IS 3105 <br />I here6y ceritity ihat I have read and examined this application and know the same to bC lrue and Correc�. All provisions ol laws and <br />ordinaces governing ihis type o! work will be complietl with whelher specified herein or not. The granting ot a permit does not presuma <br />to qive authoriry to violate or cancel the provision ot any other stflte or Iocal law regulating construction or Ihe peAormance of <br />conslruction. Thal 1 am authorized by the owner of lhis property fo perform Ihe work 1or which applicatio� is made and I wmply with the <br />State onhadors L tf327 RCW and 296.200 WAC. <br />l,r�s� ./�i I �d 3 -09 <br />�ere,.,y �� ocli�� ��$•- �71-03 `f.s <br />