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t,�3�. ,. .��13 12 ?°���� <br />J' <br />SITE <br />LGGAI <br />cot�1 <br />lOT <br />Inc- <br />• �:: ;;�� - <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMiT SERVICES <br />3200 CEUAR STREET, EVERE I-f, WA 98201 <br />425-257-8810 — FAX 425•257-8857 — vrvuw.everettwa.o�c� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />BLOCK <br />i4t5 <br />TRACT OR SUB�IVISION b <br />FOR PEflh1IT <br />G—�1 W etf <br />USE OF HUILDING � HEAT SOURCE <br />�� rleqric _ Gos _ Oth9r <br />WORK DFSGRIPTION p <br />� YlSiu,�� L.`�ih?f.`i�' � � �i { <br />NO. I 7YP[ OF FIXIUHE OR RE67 <br />Todoi <br />BathtuL <br />Lavalory(wash basm) <br />Shower <br />i(�tthen slnk & u�sposai <br />OiShwashOr <br />Clothe5 �vd5hcr <br />Wafor he�ter <br />Sink (s�n9cc/�ar/mory�ulc.) <br />^ E3ackBow praveNcr <br />Urinal <br />Orinkinn Founhin <br />^ Floor drain <br />� GroaSe ir7� <br />Flool drnins <br />^ OUior , <br />I <br />�AIT t7 <br />PI10N� <br />u�525�1066l0 <br />CONTHACT PRICE OF WORK <br />g 0 , <br />N0. I TYPE OF FI%TURE OR ITEt.1 <br />A/C - air handlina units <br />_ Forcod air systems <br />, Gas pipin{� <br />� VJatcr heatcr <br />Gas h�epla<C <br />GGs ranpo <br />Clo�hes dryer <br />Panpe hood <br />F.xhou,tfan <br />l_ Hcalpump <br />_ _ Unli heatcr <br />� E3011et <br />. Relrigerauun <br />Woodstove <br />Oiher <br />CITY OF EVERETT LOCAL SALES TA7C CODE IS 7105 <br />I hereby cenldy Ihat I havo reatl and axamineo tnis applicatipn and wine� Iho same to be true and cunecl Al! provisions Ot laHs aod <br />erdinaces pove�nin� this �ype ol wmk wlll be comphed wllh whet��er specihed heruin or not. Tha pranlirg ol a permit does nol piesume <br />to glvo auUionly to aiolale or c�ncel Ihe provl,lon o( any olhM siato or local law regu!ating consiwctlon or Ihe perlormante ol <br />construction. lhal I am authorizeU by �ho owmer of ihis prop0rty lo pr.dorm Ihe wOrk tOr which appliC3ti0q Is made and I COlnply w�th Vle <br />S�ate Contracmrs Luv 18 27 RCW and 29620U WAC. <br />