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Nov-24-09 08:39A <br />P�RMIT �PIPLIC�TION <br />CITY OF EVERETT I?ERiVIIT SERVICES <br />3200 CEDAR STREET, EVGRETT, WA 98201 <br />425-257•8810 - FAX 425-25''-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCE;'TED FROM 8 AM TO 4 PM <br />SI7E ADDRESS PARCEL TAX I.D. # <br />� 3���./��/� 5r - _. <br />, LEGAL LOT NO. �LOCK TRACT OR SUed�VISION k <br />P.O1 <br />lI —�-�—�r'1 <br />P[RnMIT #Q <br />//� (//�...Cl-- <br />DESC.� .___ — <br />�� OWNFR ... ...- APORESS —..., CITYIZIP -.. ..PHONE ' <br />� �� 1� S . F� �/� �� - Z..i 2 <br />ijc����,i,z _ �r F' ����,� 3D�� /7 � .Fv���� l��c� ._..�r.-� <br />7[NANT NAtdF CONTACT FOIt PERMIT PHONE <br />' E-MAIL <br />i CONTftA OR � �RESS , C,JTY! ��� PHONE <br />��n.,t'�i- Ja�ff � S��'�r.``��C�� <.,��'..-��+%ie f11=-2�Y/. �/�� <br />I CONTR. ICENSGG ! �'��0�%7l�Z �(/Lo+,l� ��G�..... <br />� `/� ��/G � .� — <br />USE OF 6UILDING NE�17 SOURCE I CONTRACT PRICE OF WORK <br />�� <br />�, �S �' � f'�-�flcc�rir, _ Gas _ Other S ��G� _ <br />' ----- _.. __ . _ .-- <br />� WORK DESCRIPTION ,G� ��j y / / �� <br />/�J � %/ ( ' '. U / %.i�C: .. .;'.J `L'/ �{j Z / �l�'�f s � /JL�-Y�� <br />�I /L�C, Y5S � <br />NO. <br />_.. . . <br />PLUMBING <br />TYPE OF FI%TURE OR 17EM <br />Tuilrl <br />Dathiu�� <br />Lavatory (wash h�sin) <br />Shower <br />Kilchen ein6 & disposal <br />UishH�asher <br />Clalhes washer <br />V4'nlcr hnater <br />Sink (sorvice/barAnop/otc.) <br />62chflow Prevanter <br />Urinal <br />Urinl;iny Founlain <br />Flour drain <br />Grease Ir�p <br />Ruuf Jrains <br />Other _ <br />_ ... . ....--- <br />MECHANICAL <br />NO. I TYPE OF FI%TUR[ OR ITEM <br />A/G - ai� handling unil : <br />Z Fo�cc�d air syslums <br />Gas �i�ing <br />Waten c�alcr <br />Gas Orr,pl�ce <br />Gasrangn <br />Clolhos drycr <br />Ranc�e hood <br />Exhausllan <br />..� Heal pumF� <br />Llnit healer <br />Boiler <br />Rofrigcration <br />Woodsto�o <br />OthOr <br />. .. _._.._. __. - -- <br />CITY OF EVER[TT LOCAL SALES TAX CODE IS 9105 <br />I hcv<:by r.erilify lhal I I�3ve fe3d dnJ enamined this applic2ti0n al�d 4;now lho Samo to bo trun and cnrror.t. All provisions o/ laws and <br />orhin;ir.r.s yuveminy Ihis type uf wurk will be COmpll?Q with whnlh0i ,por,ltiod hercin or noi. Thc granting of a permil does nol Vresume <br />to �ive authonty tu viuLile ur c.�ncel lhe pruvisiun of any uthar sl2ta or local la�v wc�ulaling construction or Ihn performance of <br />construction. I hat I am �ulhorited by Ihe uwner ul Ilii; Nroyeily tG Perfom� �ho wo�k (or wltiCh epplicatinn i:�nado anA I r.ompiy wilh lhe <br />Slale, �C,un�tr:� j�`'rs L'aw 18 "' RCW and 29b2G0 WAC. <br />� �/ ��� /% �-"� � � <br />