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SITE ADDRESS <br />3�19 <br />LEGA LOTNO. <br />DESC. <br />�°`.�""`:�"" CI►1 <br />co►rrn. uce� • , <br />USE OF BUILDING <br />c <br />t- <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA �8201 <br />425-257-8810 — FAX 425-257-8(f57 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 ANI TO 4 PM <br />PARCEL TAl( I.D. A <br />�7RB0b I 00 9 ov <br />TRACT <br />HEATSOURCE <br />_ Eleciric ✓Gas _ Other <br />�b -�6-oq <br />PERMR R <br />��( _ <br />IOGIJ � <br />IONE <br />MNL <br />��'°' 2S zs� � <br />COHTRACT PRICE OF WORK <br />WORKDESCRIPTION R�fl ��iS (.itie In5-i�ll ��'nCICC�i '� �hK.LQ55 }'{Z <br />NO. I 7YPE OF FlfRURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />K%chen sink 8 disposal <br />Dishwashcr <br />Cbthes washer <br />Water heater <br />Sink (service/barlmop/etc.) <br />Backflaw preventer <br />Urinal <br />Drinking Fountain <br />Floordrain <br />Grease trap <br />Roaf drains <br />anar <br />No. I rne oF Fixnx� oR rtew <br />A/C — air handling uniLs <br />i Forced air systems �fuYnqC Q. <br />�Gas piping <br />Waterheater <br />Gas tireplace <br />Gas rarge <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Boiler <br />Relrigeradon <br />Woodstove <br />CITV OF EVERETT LOCAL SALES TAX CODE IS 7103 <br />I hereby ceritify that 1 have read and examined this application and know Me same to be true and cortect. All provisiore of laws and <br />ordinaces goveming ihis rype of work will be complied with whether specified herein or not. The greMing of a pertnit dces not presume <br />to give authoriry to vioiate or cancel the provision of any other state or bcal law regulating constructbn ar the performance ol <br />conshuction. That 1 am autharized by ihe owner ol Mis property to perfartn the work for which applicadon Is made and I comply with the <br />Stale.� Vactors Law 18.2� CW and 296.200 WAC. _ —^ <br />