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Fron: tl2/'�/2010 08:53 fl487 P.002/003 <br />PERMIT APPLICATIOfV <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — F.�X 4?_5-257-8857 — www.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br />SITE A�ORESS <br />LOT NO. <br />� �/e,eF T� f�ous/n/� <fcr7/�`•'� y <br />TENAN7NAME <br />� � +� <br />, /N G <br />CONTA. UCENSE q �M�e,� ''�" <br />C�P�B� <br />U3E OF BUILDING <br />WORK DESCR�PTION //k$�y�_ <br />/�tiJL—S /o a.LG l�—. ky�-�'ES <br />PARCEL TAX I.D. p <br />TRACT OR SUBDIVISIOM M <br />- 27/5 � � �`'J'�(/'�r� <br />FOR <br />HEA'i SOUHCE <br />✓Elec�ric ✓Gas � Olher <br />PHONE <br />I����� YI <br />1�C2' L�.t�O, � <br />- , � <br />�ERMIT p <br />�� UZ 'GJ �f <br />ONE <br />��Z,S-�3 -//�� <br />ON ��� <br />�/L%—JD/� <br />CONTRACT PRICE OF WORK <br />r)� �.x�-cr s;y���--v/�F ; P�"uvi� N�-�J �.oP� <br />(sEs �a-�rwc�,v� cvPy o�•.Sec�P� o�' wone oP{�-�q,�� <br />NO. I TYPE OF FIIC7UHE OH REM <br />Toilet <br />Balhlub <br />Lavatory (wash basin) <br />Shower <br />Kilchen sink 8 tlisposal <br />Dishwashar <br />Clalhes washcr <br />Wnler hoater <br />Sink (scrvite/bar/mop/cic.) <br />Backllow pievenler <br />Urinal <br />Drinking Founlain <br />Fioor dra(n <br />Groasc trap <br />Rool drains <br />Olher <br />NO. I TyPE OF FIXTURE OH ITEM <br />A/C — aIr handling unils <br />Forced air syslems <br />Gas piping <br />Water healor <br />Gas lireplace <br />Gas range <br />Clo(hes dryer <br />Rangehood <br />Exhausllan <br />Heat pump <br />Unll hea�er <br />Boiler <br />Reldgeralior. <br />Woadslove <br />CITY OF EV ERE'T LOCAL SAlES TA% CODE IS 3105 <br />I hereby cerilily thal I tiave reud and ezamined this applicalion and know Ihn seme lo bo Irue and correct. All provisions ol laws and <br />ordiraces govorning lhis type ol work will be complled wilh whether specilied hereln or noL The pranling ol n pormit does not presume <br />to pive aulhorily lo violnte or concol Ihe provision ol any olher slate or loca� law �ogulaling construclion or lhe perlormance ol <br />construclion. Thal I art aulhorized 6y Iho owner ol this praperty �o perlorm lhe work lor which oppiicalion is made and I comply with ihe <br />Stato Conlractors�L�w }{3:2��9CW and 2�JE20o WAC. <br />/:2 _ .?O <br />