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lli�3/20�6 18:26 12538150127 KAIJG PAGE 03/12 <br />' <br />SITE ADDRESS <br />I.EGA LOT NO. <br />DESC. Ir7 <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425•257-£it310 - FAX 425-257-88:7 - www.everettwa.org � Z—� z`� � <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />I PARCEL TAX I.D. # <br />�-`I�51ioo�ol <br />BLOCK TRAGTORSUDDMSIONN <br />��Z <br />/l'l�ll-0�5 <br />PERMR A <br />�, uNbut� qs� N $P-o�wAY ��TT <br />TENAN7NAME CONTACTFORPERMIT PHONG h,�3B¢_;31", <br />wsr�n, Mo�o� i Nr� I��rtNY 1<<M E�MIAIL b�� � Ki N�2c,rr� <br />CONTR. LICEN3E!! <br />USE OF 6UILDING <br />�'�� <br />HEAT SOURCE I CONTRAc7 PRICE oF wuKK <br />� ElecMc _ Gas _ Other ����� U i <br />WORK DESCRIP710N <br />�T�P�w� - ��p-f�6. �,TA+Iui, NBI.�.w(i'f F�IuNl,f. �"n�t.'rCops. <br />lui"c(uo�' �t-r�,o,cG Fac.4tTgC�FPrJS, 1,11v, TDII.�T, ToC3� F1tJ1SH � d6s(� I� �k*t <br />N0. TYPf. OF F�XTURE OR ITEM <br />Toilel <br />Hathtub <br />�j� vaiory (wash basin) <br />� or <br />� �h sink & dispasal <br />Dis w her <br />�:�Of 9 8h8f <br />� lVatr.r ca cr <br />� Sink (se �I .lbadmop/etC.) <br />Oockflow enter <br />UrMal <br />� Drinking Poun In <br />� Floo�d�ain <br />Grease trap <br />Rooi u�ains <br />Other <br />N0. I TYPC OF FIXTURC OR I7EM <br />NC — air handling unil� <br />Forced air systems <br />Ges piping <br />V'Jatvr hoeter <br />Gas fireplace <br />Ges renge <br />Clolhes dryer <br />Rango Iwod <br />Exhaustfan <br />Heat puinp <br />Unit heater <br />Doiler <br />R611196fd110O <br />Waoastove <br />Other__, <br />C(1Y OF EVERE7T lOCA1. $AICS TAX CODE IS J105 <br />I hereby cedlify that 1 have read and examined this appiicaGo^ and knnw the same lo be true and conecL All provisions o1 iaws and <br />ordineces goveming this type of work will be complied with whether specified herein or not. The gran;ing of a partnit does nol presumc <br />to glve authodry to violale or tancel the provision ot any cther state or local law ropulatlng constrtictlon Or the �tlomtanCe oi <br />conswction. That I am outhodzed by the ouner of this pmperfy to perform the werk for which appllcatlon is made and I comply with ihe <br />Slale ContraGore Law 18.27 RCW and 296, 00 Wi,C. <br />� l %�� , '�/�el �� <br />�H <br />