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06/O7/2007 08: 16 FAX 425 257 8857 EVERETT PERMIT SERVICES �001/007 <br /> ' �'n,'5�.�9:r� :..��^"— _'�,T �-m-,;�:-•o-r.,,..�,.��.�,�.s:.i^i..:T�.T.�'�':Hy:'�,�„^•,"�:e,5`,S."'� ..�7YY'irqs-�?Fr v'.�$ -�y.,T`���i <br /> �T�� '� � ..'.�r <br /> . - RfT/' � : . . � .. . .. . � . . . <br /> � P��R�fT�,I�PP�C��►X10N <br /> CITY OF EVERETT PERMlT SERVICES <br /> 3200 CEDAR STREET, EVEFiETT,WA 98201 . <br /> 425•257-8810–FAX 425-257-8857–www.evereriwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM (�—07"�� <br /> SITE A�URESS � PARCEL TAX LU./ ERMR/ <br /> � -, . �j l ,- ��' U(o - a <br /> IEGAL LOTNO. OLOCK TRACT ���)� - 2� <br /> DESC. �� <br /> OWNER � � ��!/ � � $$ CITY2IP PHONE n <br /> S��C (�Pr, ��� �sb l� ��.CG��iC', C� ��'8�1 ,�S 1 � <br /> TENAN7 NMIE CON7ACT FOFt AEiW IT PHONE <br /> �,;�7�x�Q �ra,�.�.�'i2� � 5�'�.r�o,2> �a��� .�s 7�%�f-- <br /> CONTRAC70R �' . � ADDRESS J CITN2IP PHONE <br /> .�,,�cs �z����ti ��,,�s ��,� ,00�st�s����`Zr7%' y��sG���y- <br /> CONTR-UCEN9Et 1�.�:�/L��Cr '�(�/�_ JJrYIIJl�2c3c�'A�1� y��–%Jy"I���_ <br /> USE OF El�IL01NG I — HEAT SO�RCE CONTRA�'T PRICE OF WORK <br /> Elec4ic Gas_Otl�er I /�(� f _ <br /> WOFti(DESCRIPTION <br /> �'�s�,��( -� �'X �o�' S�ruj� r�P ,�'1.���,,��,�;�:�����,� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FlXTl1RE OR ITEM NO. TYPE OF FU(TURE OR ITEM <br /> 7oilet _ A�C-airhendllnpunils <br /> 9athtv6 Forced alr syslems <br /> Lavatory(wesh 6esln) _ Ges piping <br /> '� S�+ower _ iNeter heater <br /> Kitchen sink 8�dleposfll Ges Oreplace <br /> Dlshwasher _ Gea ranpe <br /> Clothos wesher Clotl�es dryar <br /> Wster heater _ Range hood <br /> Sink(servitefi2rlmop/ntc.) _ Ea118U9t lan <br /> -- 6eckflow preventer _ Heat pump <br /> � Urinal _ Unit heatar <br /> -- Drinking Founlain — ���� <br /> Fbor drain ReirigeraGon <br /> Gteasetrap _ Woudstove <br /> J— ROOf drnlns Other <br /> I — other <br /> � cirr oF ev�nerr�ocw sa�es rNc cooe ts�tos <br /> I bereby cadli(y thnt I hava read and examined this epplleelbn and know lhe same b be We and wrted. IUI proN�lon^of lews and <br /> ordinar.e.a govoming this type ol wo�k will 6e compNed with whelhar spedfled heraln or rwL Tho granfing of a permlf daes rat presume <br /> to give auNodly ta vlolale or cancel the p�vv�sion of eny ather sWte or bcal law reguletlnp oonst�uctlan or Ihe peAormonce of <br /> consWetion.T am authonzea oy the owner ol�ha properry to poAorm 1he work fo;which appllcatlon Is maCe and I comply with ere <br /> Stolo Con rs w 78.27 RCW and 296.200 WAC. <br /> C <br /> SlpnaWre e onl r/�uthorizatl Agent Date <br /> � -� <br />