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FEB-22-2008(Fk] ) 14: 1d P. 001/002 <br /> i , <br /> PERMIT APPLICATION <br /> CITY OF EVERE7T PERMIT SERVICE� <br /> 3200 CEDAR S7REET, EVERFTT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857-www.everettwa.org <br /> APPLICATIONS ARE ACCCPTED FROM 8 AM TO 4 PM ���,-0� <br /> SfTE ADDRESS pARCEI.TAX I.D.# PERMIT N <br /> �za� - l5� �� u�G-�r Zgo4�1 a� 20 2300 1 �%7�- �'� <br /> LEGAL LOT 110. BLOCK 7RACT OR SUHDIVISION x <br /> DESC. � <br /> OWNER ADDRESS CITY2IP PHONE <br /> �viG�1 �R�N��-- �zo�- 15t''��uE wc-�r- �veaL-rr w� q8Lo34z5-8��-�s5�' <br /> TENANTNAME CONTACTFORP�qM17 PHO(lE ���&.fb'IS$$ <br /> IBe1f�'il p1�I�Y1P�,I GMAIL <br /> �EE�-RL-o KC-�xn�y " ^',�,,� , � �f I ` I <br /> CONTR.LICENSE 7i I�-�S-NE (Glp�'P(i �y/(,�(,�}T� � 9�p•.31.1 "I�j'$I'7'��a 1� <br /> 'gEi-2G-rt�i o i o K <br /> USE OF BUILDING F1EA7SOURCE CONTRACT PRICE OF WORK <br /> 5�� _Eleclric �Gas_Other � �{'�I� •DD <br /> WORK O[SCRIPTION <br /> 'RePlat� 6w��'vmate� wifi� �ie�;� Xvs� eo,000 8�u Fi,xnac� <br /> �p�ac.� 5o gallon faq� ijo�r 1ua�Ic.rTa-Rk- -wi�h� '�.pans iun T�n.lc . <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTIIRE OH ITEM ND, TYPE OF FIKfURE OR ITEM <br /> _ Toilet A/C—airhandlingunits <br /> _ Bathtub �, Forcod air systems <br /> Lavarory(wash basin) Gas Pipir�g <br /> _ Shuwer � Waler healer <br /> � Kitchen sink 8 disposal _ Gas liroplace <br /> Dishwa,her _ Gas ranpo <br /> � Clothes washor Clothes dryer <br /> �C Waler heator � Range hood <br /> Sink (service/barlmop/eic.) � Er.haus!fan <br /> _ Backllaw prevemer Heat pump <br /> _ Urinal _ Unit heater <br /> _ Drinking Fountain _ Boilor <br /> Floordrain _ Rafrigera�ion <br /> _ Grease Irap Woodstove <br /> _ Rool drslns ^ Other <br /> _ Olher <br /> CITY OF EVEAETT LOCAL SALGS TAX CO�E iS 3105 <br /> I hereby cerilify Ihat I have read and examinad ihis applicatlon and know ihe same�o be true and wrrect. All provision; ol laws and ` <br /> ordinaces goveming this rype ol work will be complied with wnether specifiod herein or not.The granting of a permit does not presumo <br /> to give aulhority�o violate or cancel the provision ol any other stale or�oCal law rogulatinp construclion or fha pertormance of <br /> canslruction, 7hat I am a horized by the ownar ot thie pmpeny io periorm Iha work for which appllcalion i�made and I comply with�ho <br /> Sfale Co tractor,Law .27 RCW and 296.200 WAC. <br /> Z/�/�o�- <br /> S nature of Owner/ omractor/AulnorlZetl Agont Uaie <br />