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_ �„ [:;1; �:GSf'J <br />SITE <br />LOT NO. <br />�,}r�na �.i <br />TENANT N�11E <br />Inc- <br />USG OF [iUILbINO <br />��. li'��� 2 <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMtT SERViC�S <br />3200 CEDAR STREET, EVERETI', WA 9H2O1 <br />425-257-8810 — FAX 425•257-8857 — www.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM Ta A PM �� ag ' I <br />+ I PARCEL TAX I.D. N PER!: !T p <br />� C�l� ?AI � �uc ;�ol-oss <br />040CK TRACT OR SUBDIVISION p <br />FOR <br />��ex�eff <br />HEAT SOURCE <br />_ Eleclric ��as _ Olher <br />WOflK DESCRIPTION <br />lnsiull -��les� Vl�c�,�.v� � <br />��p, � 7YP[ OF FIxTURE OR ITEM <br />Toilel <br />Oathlub <br />� Lnvelory (wnsh basln) <br />Showor <br />Kilchen sink & disposa� <br />Dlshwashor <br />Clothes washer <br />Water heater <br />Sink (sarvice/ba�lmop/elc.) <br />� Back(low provenler <br />� Urinal <br />� Drinking Fountnin <br />FlOordrnin <br />�rease trop <br />Rool drains <br />Olher <br />PHONE <br />�#2525R lofo6 � <br />CONTRACT PflICE OF WORK <br />3z�g,5� <br />ND, I TYPk OF FIXTUH� OR I7EM <br />A/C — air handling unils <br />r Forted air systems <br />Gas piping <br />� Waler heator <br />Gas trteplaco <br />Gasra�ge <br />� Glothes dryer <br />Nanpe hood <br />Exhauslfan <br />� lieac pump <br />Unil heater <br />(30ilpf <br />—' Refrigeration <br />� Woodstove <br />Othar <br />CITY OF EYFRETT LOCAL SALES TN( COOE IS 7105 <br />I hereby cerplly Ihat I have read nnd examinod this applieailon and 4now the same to be Irue and correcl. Ail provisions o( larvs and <br />ordinar.es govaming this fype ol wurk will 6e complied wilh whelher specihod herein or not. The granting of a permil does no� prosumu <br />to,give authorily 10 violate or cancel Ihe provision of any othar state or local law repulaling consiNcllon or iho pedormance of <br />tonstaction. That I 3rt1 aulhorized by 1hU owner ol ihis properly to pedorm the work tor which appliCaCion is made a�d I Comply wi�h ihe <br />State GonVaclors Law tII27 RCW and 296.200 WAC. <br />!� . .. •;� � ..n i� <br />