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Z <br />�`� . —� . . <br />P�ERMIY APPLIC��TION <br />CITY OF EV�RETT PERMIT SERVICES <br />3200 CEDAR STREET, E��ERETT, WA ?8201 <br />425-25�-8810 — FAX 425.-257-8857 — www.everEtfwa.org <br />APPUCA'i IONS ARE ACCEPTED FROM 8 AM TO •4 PM <br />i_� � n I PARCcL TAX LD:1F <br />N0. BLOCK I TRACTf1R EIl4DM$ION �� , <br />. <br />A�ORESS <br />72�1 Lo VI�G�.�v� <br />4�to <br />Y!�ORK UESCFur'T�ON <br />��(.�I' -`'�� ' `i`'' - .. <br />N0. I 7YPE OF �IXTURE OR ITEM <br />T611et <br />� Bathtub <br />� Lavalory (wash basln) <br />Shower <br />IGtchon sink & disposal <br />�IFhwasher - <br />Clothes wash0r <br />Water hoater <br />Sink (servlcelbadmop/etcJ <br />— BacMbw preventer <br />Urinal <br />_ Drinkinp Ftiuntain <br />Floor drein <br />� Greese vap <br />Roof dreina <br />` Othor <br />— � <br />I hereby ceriSFy fhal I have re <br />ord(nacee govaming thie typE <br />to glve aulhority to vblate or <br />wnstru,cNon. I am authc <br />State Gonlra rs aw 18.27 <br />z �vuuc�. <br />u,n�:y�� <br />�HEA�URCE <br />ElocVic. Gear,Other <br />_•'I�1 VV' Y�"K <br />I/ <br />%�6-1Z <br />NIT+e : <br />��1 ,n�n S <br />/�Z���IQ. <br />�12�r� �F�o�-. <br />i PRI(:E OF WORK <br />� VV �.� <br />� <br />N0. TYPE OF FIXIURF, utL ITEM .. <br />A/C - alr handling units <br />T Foresd.alreystams <br />� Oaa pipfng <br />Wator hoater <br />� Ges fireplsee <br />,�,� Ges range , <br />Cbthea dyer <br />� Ranpa hood <br />_ Exhaustfan <br />� NeaEpump <br />_ UNt hgater <br />� Boller <br />= Refrlperatlon ���� <br />WOOd9lOva <br />,,,,� O�ner <br />CITY OF EVERfiTT LOCALSILLH9 TA1( CODE IS 3105 � <br />and e mined ihis appllc tlon and know the eame to be trva and cortoct. All provisiuns of luws and <br />work w I be complla Ith holher, spacllled tieroln or noc The gronUng of a permil doe� not preaume <br />cei NA royision any otha state or local law regulatirg wnc4ucUon or the perfortmneo of . <br />!dlly lh owner Gits prope to perfortq thawork�or whlch�appllcation fa mado and I camply wllh'ihe' <br />SiT'd LS88L5252bS�01 <br />�1 <br />:WOZI� 80:50 SSOZ-O�-� <br />