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PERMIT ARPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3?00 CFDAR STRFET, EVERETT, WA 9A201 <br />425 257 8810 - FAX �125 257-8857 - www everet�wa org <br />;�� '� APPLICATIONS ARE ACCEPTED FROM B AM TO 4 P�d �'�� 2-� <br />SITL ADUHESS �' b� � PARCEI TA% I.D. p PERMIT p <br />2ts2� - � l2�"' ST. 9�E. I o05379odo045o� +0o5379acac4Gaol (' -' , <br />—� — -- =1�1--`-�—'- --- <br />I!���nl�i LOT NO, BLOCK IAACT OR SUBOIVISION p x <br />,�';� � TRAGfS 45+4(o PIAT oF PA�rlfl FIEI.O A00 2 <br />- --------- ----- -- — ---------- ---------- <br />OWNF.R ADDPESS CITVQIV PMONG <br />MRP�FWooD Co�R't LLC Ia607-'rN{QD C12.S.E. M�V'C��, 425•357-c28(c <br />wA. 9Boi2 <br />TENANT NAME I CONTACt FOR PERMIT PHONE <br />L`OIJ�RA�F6� <br />CONTR. LICENSE p <br />- -------- - ... .-- - -- <br />USE OF BUILDING <br />Sit�V'.I.-E FiLnu.Y TcwNNou5B5 <br />WORK DESCNIPTION � <br />� HEATSOURCE <br />X C�o�anc _ aus _ _ _ omc, <br />E•MA1l <br />CG1y572UCT A 5lr.1GLE FA^���-'-f TGwiuNOUSE '�UN� f� �� <br />-- ----PWMBING --_ ----- <br />NO. I iYPE OF FI%TURf OR ITEM NO. <br />3 <br />I <br />l <br />i <br />Toilcl <br />L�alhtub <br />Lavalory twush basun <br />Showe� <br />Kiichen sinF & disposal <br />uis��w�s�u�i <br />Clothos washcr <br />6Valen c�atur <br />S�nk (service.'baUmop'elc.l <br />E3ackllow prevenla <br />Unnnl <br />Dnnkm� Pountain <br />Floar drmn <br />Groasc irap <br />Rool diams <br />Olhci <br />CONTRACT PRICE OF WORN <br />�.�/�� %�6. uD <br />TVPE OF FIXTURE OR ITEM <br />1 A C- air handling units <br />�oiced ev syslems <br />c,,�, ��P��,q <br />W ater healer <br />Gu5 IuCpI:ICO <br />Gas ranye <br />I Clothes dryer <br />� Ranc�c hood <br />¢ Crhausllan <br />I leal pump <br />Unit healer <br />E3oilnr <br />__ _ RehigerNion <br />Woalslovc <br />Otl•cr <br />CITY 0'� EVEHETT LOCAL SALES TAX CODE IS 7105 <br />i imieby cerilily Ihnt I have read and e.amined Ihis applicaliun and know the same to be Irue and correcl. All provisions ol laws and <br />�^dmans governing Ihis lype ol woik will be complied wilh whether spectlmd herein oi not. The �ranling ol a permi� doos not presume <br />i� � qwe authoiity lo viol�te or canccl ihe provision ol any othcr slate or local law regula6ng const« iction nr Ihe perfoimance ol <br />.�instruc�ion. Thal I am aulhonzed by Ihe owner ol this pmperty lo pedorm the work lor which upplicalion is made antl I Comply wah �he <br />'.ialc C nlraclors Law 1027 F�CW and 29G200 WAC. <br />%k.c.c �0 - //- O 7 <br />'.���nldurc ol OwnW �COn i. cIOGAuI�� ntcJ Agenl D�IC <br />�/> <br />� <br />