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I�-�q-200r 11:47 FROM: <br />1D:1425257H857 P•3 <br />T APPLICATION <br />PFRMI <br />CITY C�F EVERETT PERMIT SERVICES <br />32J0 CEDAR STREET. EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257•8857 — www•everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CM�DS ARE NOT ACCEPTHD <br />SITE ADDRES£ <br />LOT NO. <br />BLOCK <br />�c�.F� Lar:t� <br />NAAAE � � <br />pARCEL TAX I.D. M <br />1 �T/1�7ri�1�G2� Z <br />TRACT <br />'I �f(o 1'V�4vrri� <br />I CONTACT FOR PERMR <br />��4 <br />CONT C OR � - „ +� (�„ � , �� 5��� <br />�.rt.y �ra ,. <br />co"�i'i',�E rU/��f�1'_'1/UU� l�"� <br />USE QF BUILpING <br />�`T��� <br />HEATSOURCE <br />_ ElecNc �Gas _ Othar <br />WORK DESCRIPTION � �� �� ` -Q�� <br />��J � <br />NO. I TYPE OF FIXNRE OR ITEM <br />Toilet <br />Balhtub <br />LavaWry (vrash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothas washer <br />Laundry tray <br />Sink (servicF:�� r.'mopletc.) <br />Backflow preventer <br />Udnal <br />Drinking Fountaln <br />Floor drain <br />Grease Vap <br />Roor d2ins <br />Other <br />I 7�r....�... �%t��� <br />3 zSz �l3 <br />PHONE <br />77p 320�' <br />mm $d � <br />�e � 2��- S�7�v <br />'y CpNTRACT PRICE OF 4NORK <br />I ��i <br />NO. � 7YPE Of FIX7URH OR ITEM <br />AIC — alr hanGling units <br />Forced afr systems <br />Gas plp(ng <br />Waler healer <br />Gas firoplaca <br />Gas renye <br />Clothes Cryar <br />Rangehood <br />Exhausttan <br />Heat pump <br />Unit hneter <br />Boiler <br />ReMgeradan <br />Woadelova <br />Other <br />CITY OF EVERETT LOCAL SALES TA% CODE IS 3103 <br />I hereby ceriMy lhat I have reatl and examineA Ihis appllcaUon and know the same to be We and correct. A�I provlsions af laws and <br />ordinaces goveming this rype of vrork will he complled wilh whether specfied herein or not. The grenting of a permit does not presume <br />to give authorily to vialale or cancei the provision of any olher stale or locai law regulaUng constructlon or the performanca of <br />wnstrucUon. That I am authorized by the owner of thls properry to peAorm the wark for which applicatlon is made and I comply wilh the <br />State ntrecl;rs Laoc��82aRCW an �496.200 WAC. �// �/ ./ <br />l \ \ /Yr <br />