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SITE AUDflESS <br />i <br />LOT NO. <br />� <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETf, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. k <br />� ;Ji), , , � - <br />BIOCK THACT OH SUBDIVISION R <br />;� t , }. , ' r, ._ <br />� � � I,. k x <br />' �ii�.:�-'� �_Cblf ��- 'i; ��a ,� i <br />TENANT NAME I CONTACT FOR PERMR <br />9'-3-09 <br />PERMR N <br />` � ��� <br />i � i ,, � � <br />( (" ., � In , �' �. (' .l� <br />�iTY21P PN E <br />I C ��',:ii�Pi�1 �ll � 112 Jil�� <br />PHONE �. � r , � ., � .'� i�� 1 .. , <br />� . ' ��'� �t.b'i �� EdAAIL � '.l , -' � � � �'k� � <br />�1. !:., ��, r',� ,. � .,1,.� 1 �,,r�. , . � <br />k , i_ �� . . <br />COHTR. LICEN3E 1 '� ' , ,: <br />�F-' _� G�,��. ��7, <br />USE OF BUILDIN6 <br />,. � � , i . � +� � ; � uJ ( �. . <br />�' <br />WORK DESC:RIPTION <br />I.�� �`-- �f�rY� <br />i <br />� )t� �, l <br />N0. I TYPE OF FlXTURF OFl ITEM <br />—� <br />� . <br />i Tuilol <br />� BatMub <br />� Lavalory (wash b.�sm) <br />Showar <br />Kilchen aink 8 disposai <br />Dishwasher <br />Clolhes washe� <br />W atar heete� <br />Sink (sorvlcePoaiAncp'r h�.. l <br />6ackllow p!eveNe� <br />Urinal <br />Drinking Founi:,r� <br />Floor drnin <br />Grease Ir2�� <br />Rwf drains <br />OUter _ _ _ <br />NEATSOURCE <br />Elecliic _ Gas ___ Olhor <br />.,, ,i t`. , I <br />NO I <br />1 <br />c� <br />�I � CONTRACT PRICE OF WORK <br />TYPE OF FI%TURE OR REM <br />A�C - air hardling uni�s <br />Porcad air systems <br />Gas piping <br />Waler hoa�er <br />Gas firoplace <br />Gasrange <br />Clothes dryer <br />Hanpe hood <br />Exhaust lan <br />Hoot pump <br />Unit healer <br />Boiler <br />Relrfgamtion <br />Woodstove <br />Olher----- — -- <br />CI7 V OF EVERETT LOCAL SALES TA)( CODE IS 3105 <br />t hereby cedtity that I heve read and ozamined this epplicafon end k�aw lhe same lo be true and correct. All provisions ol laws and <br />ordinar.es govamirre Ihis �ype o� wod� wili be complied vdth wtieiher specified herein o� nol Tlie granlinp of e permit does not presume <br />Io give eulhaity to violale or cance! Ihe provision of eny other stete or local law regulatlng constructlon or the peAorm.ence ol <br />conslruclion Thal I am eiAhonzod by Iho owner ol tlus piopehy to perlorm tho wvrk lor which application is made and I comply with Ihe <br />S�Bta Conlredors Law 18.27 RCW and 296.200 WAC. <br />-- � � J � � � � <br />Signelure o nner onlreclor ul onr genf � ate �/� <br />