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06/24/2008 10:38 FAX 425 257 8857 EVERETT PERMIT SERVICES <br />?1 001/001 <br />SITE ADDRESS y <br />LEGAL LOT NO <br />DESC.i <br />OWNER <br />TENANT NAIdE <br />U—uNlk'AC70R� <br />CONTR. LICENSE N 1/Y <br />USE OF BUILDING <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 -- FAX 425-257-8857 — vmv.everetiwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. # <br />J_. <br />TRACTOR SUBDIVISION 0 <br />ADDRESS jjj <br />CONTACT FOR PERMIT 1 <br />in� 1 -9 ' 111' <br />A -SS <br />HEAT SOURCE <br />_Eluclric Gas_,. Other <br />PHONE <br />...TT- / ID'r"f r X411, Lur n <br />CONTRACT PkICE OF WORK <br />`IC <br />WORK DESCRIPTION_ cl _ II n r• , �r I nc� ^`0 <br />Clrchr�eC,rCW{al term, (-C <br />NO. I TYPE OF FIXTURE OR I I EIA <br />Toilnl <br />-- Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />DishwFlshor <br />y Clothes washor <br />-- Water healor <br />Sink (servica/bar/moplelr.) <br />Backtlow proventer <br />Urinal <br />_ Drinking Fountain <br />_ Floor drain <br />Gronso imp <br />�'- Roof drains <br />Other --___--- <br />MECHANICAL — <br />NO. I TYPE OF FIXTURE- OR ITEM <br />_ NC - air handling units <br />Forced air systems <br />Gas piping <br />Water hooter <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hoed <br />Exhousl tun <br />-- Fleat point) <br />_ Unit healer <br />_ Bettor <br />_ Refrigeration <br />Woodslov <br />Other._- �- <br />C11Y OF EVERETT LOCAL SALES TAX CODE IS 7105 <br />hereby corilify that I have read and examined this application and know file same to be true and correct. All provistons of laws and <br />ordinates governing this typo of work will be compliod with whnthrr specified heroin or not, The granting of a permit does out presume <br />to give authority to viol, SyCRTeel ilia provision of a other slate or local layyy''' rogulating constRictinn or the performance of <br />Construction. That 1 , he;od by fire ownor Iis property to pedorn Irfe work ror/(vhich application is made and I comply with the <br />State ContraGo w ty121 , and 2J U WAG / / <br />M <br />