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il,�v. 7- [�iii E�,3itdJ <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMiT SERVIC�S <br />3200 CEDAR STREET, EVEREI'7, WA 98201 <br />425-257 8810 — FAX 425-257-8857 — �nvw.evereltwa.org <br />ApPLICATIONS ARE ACCEP7ED FROM 8 AM TO 4 PM <br />SITE ADDR6S5 <br />�1�1u.d'+��r, � <br />LEGA LOTNO. � <br />O[SC. <br />I�L <br />CON <br />USE OF BUILDING <br />�"lORK DESCRIPTION <br />'-'�t' ��. <br />�=}'I`J <br />PARCEL TAX 1,0. # <br />SUBDIVISION tt <br />CONTACT FOR PERh11T <br />HEATSOURCE <br />_ Eleclric rGes _ Oiher <br />��.� � r v�,a: �� , 1� z.� �- <br />N0. I TYPE OF FucTIIRE OR ITEh1 <br />Toilet <br />Bathlub <br />Wvalory (wash basln) <br />Showor <br />Nitchen sink & disposal <br />Di,h�vasher <br />Clothes washer <br />Water hoalcr <br />Slnk (sorviceibar'mop/etc.) <br />Beckftow provnnlor <br />Urinal <br />Ddnklr,fl Founiain <br />�IOOf tl�8i� <br />Greue trap <br />Roof droins <br />Olher <br />�;o. ;813 2 <br />PERM17IT tt <br />��S 73l� � 3/2. <br />PHONE�zS z �. <br />E•t.lAi �C�hUIC�C� <br />�+252591oro6l� <br />CONTRACT PRICE OF WORK <br />"_I � � / ✓�' <br />E <br />N0. I TYPE OF FIXTURE OR ITE1.1 <br />NC—air handlinp unlis <br />� Forced air sysloms <br />Gas plpinp <br />__� _ Walor heater <br />_ Gas lireplzce <br />Gas range <br />Clolhes dryer <br />` Rango hood <br />� 6xhausifan <br />Fleat pump <br />_ Unrthaaler <br />Ooller <br />Fi0ingefdlion <br />WOOd510V0 <br />Olher <br />CITY OF EVEfiBTT LOCAL SALES TA%CODG 13 9105 <br />I heroby cerillty �hat I havo raad antl exumir!; (his appllcatlon nnd know Ihe same l0 be truo and corretl. All provision, ol laws �nd <br />ordinaces goveminp ihls type of work wdl �e compliod wilh whelher spoc�livd horein or not The grantinp ol a permil does not presume <br />to give awhor�ly to viotato or can�el Ihe provision oi any othor state or local Inw re0ulailnp :ono�ruction or tho pahormance ol <br />conslruclion. 7hn1 I em aulhonzed by Iho owner of Ihis property lo podorm Ihe work IOr which appllcation is mado an� I comply w�th (he <br />Stnte Conlraclors Law 1827 RCW ana �96200 WAC. <br />�_.. . � •� ,. _ ... <br />