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Nov-06-09 09:42A <br />P.02 <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-2.57-8810 •• FAX 425-257-8857 - www.everettwa,org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS PARCEL TAX I.D. III I PERMIT p <br />LCOA LOT NO. DLOCK TRACTOR SUIIOIVISION 0 <br />OESC. <br />OWNER RE85 CITyrAIP PHONE <br />�ifryr, C /'t i���� 7J-04 5.7T;ee.. �Gril�fye&y 7.0d- 5W7- z <br />TENANT NAME CONTACT FOF' PERMIT PHONE <br />F�{ c'�/><r<� q?c-Z38-/776 <br />CITYIZIP _ E-MAIL <br />�y�ICu�r�• /ri +r `�, ✓ �- -T„ e jGi' �'v'rti��/f` <" yZs"- 2 J-�" z /'r/ <br />CONTIIff. LENSE N <br />_ !. ,V35'o/� ,yzZ_ t.r.a USE OF SUILDINO HEFT SOURCE CONTRACT PRICE OF WORK <br />n �' <br />Electric ,_ Gas _ Othnr �f > f 6 �'^ <br />WORK DESCRIPTION <br />-PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />_ (ollnl <br />_ Bathtub <br />_ Lavatory (wash basin) <br />_ Shower <br />_ Kitchen sink 8 dlslioanl <br />_ Dishwasher <br />_ Clothes washer <br />Wator healer <br />Sink (serviceNarlmop/elc.) <br />_ Baekflow prevenler <br />_ Urinal <br />_ Drinking Fountain <br />_Fiuurdraln <br />_ Grease trap <br />Root drains <br />_ ... Other <br />MECHANICAL <br />N0. I TYPE OF FIXTURE OR ITEM <br />A/C -air handling units <br />_ Forced air aysloms <br />Gas piping <br />Water hoalnr <br />Gas rtepface <br />_ our, range <br />_ Clothes dryer <br />_ Range hood <br />Exhaust fan <br />Heat pump <br />_ Unit hooter <br />Bolter <br />Refrigeration <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby corihfy thin I havp rend and exammod this application rind know the samo to be true and correct. All provisinns of laws and <br />erdulaces governing lhB I) po of work will be complied wllh wholhe • specified herein or not. The granting of a lxrcmit dues not prosume <br />to give authority to viulme nr cancel the provision of any othor stule ur local law regulating construction or thn pnrfurmance of <br />construction, That I urn oulhori:ad by the owner of thls property to nerfurm the work for which applicatiuu Is mado and I comply with the <br />Stain <br />�CunntrraYctor ow`110.27 RCW a d 296*POO WAC <br />Signal' urB of Owner/ u11ttK TOrlAuthor zn gent lute <br />.— J <br />