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Jan-27-11 09-40A <br />PERMIT APPLICATION <br />CITY OF �VERET7 PERMIT SERVICES <br />320� CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.evarettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />.;L $'lii 2. / _y � S T <br />i.EGl�L� LOI NO. 940CK <br />��F5�.1. . . .. .� _. <br />J <br />OWNER <br />G�✓e•,�%' ��GS�� '�'z/S. <br />TENANT A�q I <br />�V( q/�/� <br />PARCEL TAX I.D. !1 <br />1RACT OR SU9pIVI510N 0 <br />AODRE$S <br />l 7S ��.�=°L /c'�.0 S <br />CONTACT FOR PERMIT <br />��/ C <br />P_O1 <br />1 � a`�'�% <br />P RMITiF <br />���� ( � �J� ' i���,p <br />360 -G s"z - Sy <br />PHONE <br />yz 7 -� � 3 �—i7z � <br />cr e-ma� <br />CZS/N—YRACIOR// C ADDR/E$��— /� CITYI2IP PHONE <br />C�/�Id'`li .SR/� � Jfr�,li t�C ,�Y��� L:i�[/'✓�/�-'i �L%'Z ) / G� �6/ <br />CON R. LIC E ` Z KZ �j p�I <br />_ � 9G. _%�ti�s�. i v <br />U5E OF BUILDING HEI�T SOURCE CONTRAGT PRICE oF WORK <br />�< S ^ Electric .� Gas _ Otber _ � 7 7T � ` <br />WORK DESCRIP710N <br />� NO. <br />����a c -�. G(% /� <br />PLUMBING <br />TYPE OF FIX7URE OR ITEM <br />Tnilr.t <br />Baihtuh <br />___, Lavalory (W25t1 batiin) <br />Showcr <br />hi��hr.n Sink 8 clis{x�ti�l <br />Uishwasher <br />Glolhes w;�::hr.r <br />VY:ler healr.r <br />Sink (servi!:o/badmnp/elc.) <br />BacP.flow prnventei <br />Urinal <br />D�inF,in,y hount8in <br />f-luur droin <br />C�e�se lrap <br />Ruu( Jruino <br />Other <br />7�Gf,�"I? �l G�.. <br />k0. I TYPE OF FIXTURE OR ITEM <br />A/C - air handling units <br />Fotced air systems <br />Gas piping <br />Water heatur <br />Gas tirepiace <br />Gasrange <br />Clothos dryer <br />Range hood <br />Exhaustian <br />Heat pump <br />Unit heatar <br />Boiler <br />Re(rigeraUon <br />Woodslove <br />CITY OF EVERE7T LOCAL SALES TAX CODE IS 9105 <br />I here�y r.critify thal I huvo road and ezamined this applicaUon and know tho some lo bo true and corrocl. All provisio��is uf laws and <br />oiJin�ces yovcrning Ihis lypn ot work will be complied with whelher specifiod herein er not. The granling oi a permil doos nol presume <br />1�� giae �uthnrity tp violate or c�ncel lhe provision ol any other state o� local iaw regulaling construcUon or tho peAortnanr,e ot <br />ainslrucUun. Thnt 1 2m aulhorized by lhu uwnnr ot lhis proparty lo p��Aorm tho work for which application is made and I comply witli Ihe <br />Slati: Caill�ctor• �w 10 27 R W and 296.200 WAC. <br />r <br />7 <br />�z ".��_. ��_ � '_ �`// <br />Siynalurr. of pwnedCoNractur ulhorizpd A�eM Dete <br />J <br />