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� cRMIT APPLICAT�JN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810-FAX 425-257-8857 <br /> llvl g <br /> SR�(E�A(DDNEft PARCEL TAX I.D.• PEHM11'• <br /> /Q(�' // �/G NA`r • r <br /> LE IOTqC. /LOCK TUACT <br /> DESC. <br /> ,y� So,U SHi�/ 49/6 �`�� s w�,uk,��o wr?:9�t ��cva <br /> ��� ��� � <br /> p�/S�/ I til/ s'o.�/ SHi�t/ y� �3��si� <br /> cor�riuc,�on �oo�ess ar corrt�.uc�e. <br /> � �a�� <br /> MOiO�ED U!E OFlINLDINO BWlditq �M�chanial AddNbn l�AT WUIIC[ <br /> � � PERMIT B Combin�don PIufllWnp YYOIIK Albnlion (7 ELctrfc <br /> � TYPE Dsrt�olilbn 31pn TYVE Ww On <br /> B spr�na.r a.vw,+Yaim. an., <br /> corrt�ucr arocE oF woeK ,�-d arr of evacrr�oc�w.a T�x eoo�a�os <br /> womcoescrorraN <br /> �Ja.L� S,�-`- <br /> PLUMBING <br /> N0. TYPE OR RXTUIIE OR IiEM N0. TY'E Of RIITINI!011 ROI <br /> _ WATER CLOSET _ MC—AMANDLINO UNIT8 <br /> _ BATHTUB _ FORCED NR BVSTEM8 <br /> _ LAVATORY(WASH BASIN) _ HEAT PUA� <br /> _ SHOWER _ UNIT HEATERS <br /> _ KITCHEN SINK d DISPOSAL _ CLOTHE8 DRYER <br /> _ DISHWASHER _ RANOE HOOD <br /> _ UUNDRY TRAY _ WATER HEATER <br /> _ CLOTHES WASHER _ METAL flREPLACE/STOVE <br /> _ URINAL _ fIREPLACEIN8ERT <br /> _ DRINKINO FOUNTAIN _ OA8 FIREPLACE <br /> _ FLOOR DRAIN _ OAS RANf3E <br /> _ BACKFLOW PpEVENTER _ OAS PIPINO <br /> _ SINK(SERVICE/BARIMOP/ETC.) _ D(HAUST FAN <br /> _ OTHER _ OTHER <br /> I MEREBY CERITIFY iHAT I HAVE READ AND OUMINED TMIS APPUCATION ANO KNOW 7NE 9A1AE TO BE TMIE AND COR�CT• ALL <br /> PHOVISIONS OF LAWS AND ORIOINACES OOVERNINO THIS TYPE OF WORK YVILL BE COMPLIED WITH MME7MER BPECIFl�qEREW OR <br /> NOT. T}iE l3RANT1N0 OF A PERMIT DOES NOT PRESUME TO QIVE AUTHORITY TO VIOUI7E OR CANCEL 7TIE PRONISION OF APIY OTMER <br /> STATE OR LOCAL LAW RE6ULATIN6 CONSTRUCTON OR TNE PERFORMANCE OF CONSTAUC110N. TTMT I AM AUTlIOR�!V TME <br /> OWNER OF THIS PROPERTY TO PERPORM THE WORK FOFi NMICH APPLICA�ION IS MADE AND I COMPLY MII1N TME STATE <br /> CONTRACTORS LAW 1827 RCW AND 298200 WAC. <br /> � ' �r �'3 <br /> tgS` nature o wne ractod ut o gent at� <br /> DEBIT 8 CREOIT CARDS ARE NOT ACCEP'TED 1/i <br />