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—�. <br /> PERMIT APPLICATION <br /> CITY OF EVERE7T PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810-FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TA)I I.D.� pEiqlli� <br /> C�//� -b�lo <br /> LE LOT NO. SLOCK TMCT <br /> DESC. <br /> R <br /> �ieu�a�-- LaSi,�N� I �'a��� � �125 3 53 114 3 <br /> ��l,�qn/�- �a�s� S'pc.6�•� S'�sn,.�s�• � �►,� 34S M�t/�v�n1 cart�.u�. <br /> P"°"E 36o y2Z'1lq i qp�'►� A nl�sol� �P <br /> nP-ROPOSEDUSEOFlUILpNO BuNdirfp AAechenk,al AddNbn NEATt01NICE <br /> lACE21Nl�� �31'u24A� PERMIT B COmbkMtlW� R Phxnbkip WORK R AlNredon D ENchic <br /> TYPE D ��tbn � Sipn �� g �NMIakN. B � <br /> U <br /> CONTRACT PRICE OF WORK �'�� qTY OF EVEpE7T LOCAL�A�Et TAX COOE M 7106 <br /> WORK DEBCRIPiION <br /> �tiSil�U, C�ASS I NouD ��n+ F2E'Su�PP2�c� SNsr� <br /> ' PLUMBINO HAMI L <br /> N0. TYPE OF FlXTURE OR ITEM N0. TYPE OF RXiURE OR REM <br /> _ WATER CLOSET _ NC-AMANDLIN6 UNITS <br /> _ BATHTUB _ FORCED AIR SYSTEMB <br /> _ LAVATORY(WASH BASIN) _ HEAT PUMP <br /> _ SHOWER _ UNIT HEATERS <br /> _ KITCNEN SINK 8 DISPOSAL _ CLOTHES DRYER <br /> _ DISHWASHEfi ,� MNpE HOOD <br /> _ LAUNDRV TRAY _ WATER HEATER <br /> _ CLOTHES WASHER _ A�TA�FIREPLACE/STOVE <br /> _ URINAL _ FIREPLACE INSERT <br /> _ DRINKINO FOUNTAIN _ OAS FIREPLACE <br /> _ FLOOR DRAIN _ p�g q�NpE <br /> _ BACKFLOW PREVENTER _ QA3 PIPINO <br /> _ SINK(SERVICE/BAR/MOP/ETC.) _ EXHAUST FAN � � n•�� <br /> OTHER _ OTHER �F �Cu rrC� �N <br /> I HEREBY CERI7IPY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES 60VERNINO THIS TYPE OF WORK YVILI BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE OHANTIN6 OF A PEHMIT OOES NOT PRESUME TO OIVE AUTHORITV TO VIOLATE Oq CANCEL iHE PROVISION OF ANV OTNER <br /> STATE OR LOCAL LAW REGULATINO CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM Al�T1fORIZED BV TH[ <br /> OW F THIS PROPERTY TO PEqFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY NATM 1HE STATE <br /> C TRA TORS LAW 27 RC ND 298200 WAC. <br /> 1 O'/J� �� n � <br /> ign e ner/ ontrador ut z penl ete � M 1 ) 1'l <br /> S'�N� ���tiNAS � � _J <br />