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azs-zsz-ir>ae <br />. <br />� <br />' Qsir�e7 ..o <br />�IG� <br />LEGAI` <br />DE� <br />� 05'/NLF <br />i�nhr <br />TENANT <br />,;a E.: nrir;c <br />LOT 1l0. <br />USE OF BUIL�ING <br />, : �.,, os-oa-zoin 3;c <br />PERMIT �4RPLICAT�UN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />4=;,-257-8810 — FAX 425-257-8857 —www.evereltwa.org <br />APPLICATIONS AFE ACCEPTED FROM B AM TO 4 PM <br />lg2D� <br />BLOCK <br />PARCEL TAX I,D. R <br />TRACT OR SUBDIVISION p <br />ADORESS <br />a s �bm/e <br />ICONTACT FOfl PE-RMIT <br />l�; bble <br />�,dL �.�,� Everett �g' <br />NEATSOURCE <br />_ E:lectnc v Gas _ Olher <br />PERh71T N <br />A��FDS� <br />�IZ`� ZS� 1��6 k� <br />CONTRACT PRICE OF VJOR{< <br />I$,ZOS �d <br />SVOR DESCFIPTION ' <br />1n5-�►I �as P�P"�, ga: furnacQ., h.aat ���, wa�}er I�a�e.�' �t �as '�n�,'C'' <br />PLUMBING MECHANICAL i <br />N0. I NPE OF FlXTURE OR ITE1�1 <br />Tollet <br />_ Bathtub <br />Lavatory (vrash basin) <br />Shower <br />Kllchen 5ink 8 dlsposal <br />Olshwashor <br />Clolhes v:ashor <br />�Valer healer <br />Slnk (sorvicc/bavmop/utcJ <br />, ��ckilow prevenlor <br />Urinal <br />Ddnkinp Founlain <br />Floor draln <br />_ Greaso trap . <br />Raol dralns <br />Olher <br />N0. I TYPE OF Fl%7UflE OH ITE1,1 <br />A/C — air handling uni�s <br />Forcod alr syslems c� GS '�vv nQ.�¢� <br />Gas plping <br />Water healer <br />Gas fireplace <br />Gasranpo <br />Clolhes dryor <br />Rangohood <br />EMhau�! lan <br />Huat pump <br />Unil heater <br />Boilor <br />Relriperalion <br />W oadstove <br />Olhor. <br />CITY OF EVERETT LOCAL SALES TNC CODE 19 �105 <br />I hereby ceritlty Ihal 1 havo road and ozamined Ihic appllcatlon and know Iho same lo bo Iruo anU correcL All provislons of Iaws and <br />ordlnaces governlnp Ihis lypa ol work wlll bo complled wilh who�hor specllled hereln or noL The granling ol a permll tloas nol presamo <br />io pive . ulhority lo vlolale or cancel Iho provtslon of any olhor slala or Iocal law ropula�ing construcllon or lho perlormanco ol • <br />consUucllon. Thal I nm auUiodzed by iho owner ol Ihls pmpe�ry to perlorm Iho wo�k for �vhlch applicatlon Is made and I comply wllh Ihe <br />9tato Contractors Law 18.27 fiCW and 276.200 WAC. � <br />