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srt� �ooieeaa <br />�or ho. <br />I <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />P,UtCEL TAX 1.0. / pEpMT R <br />�.,�a� a o2'L�v�4 -� -o�l-aoc�o � n�a�� a.-o,a. <br />r s�acK nucr <br />ENT iLA CoQQ N�ERR�� ��K C SA M E� -. ...�_ <br />_�p �ju� Qo� ���j � c PI/i � 1�,� (�sgo2.N� vzsE- 308 y�/S� <br />G • <br />PMONE <br />Zp6 '3 q � - 2'1 <br />PRWO{ED U{E OF {UILOINp <br />CONTRACT PRICE OF WORK <br />�MEc-NwN�CWL "ooREss <br />� u � � gOX <br />av coHnt.uceMset <br />44aaz <br />���� rA��GtQX�MA.GICiSOMI'OO$L� <br />Buldiny MecheMca� AAAXbn MEAT tOUI10E <br />rERMIT CamDinatlon Plumbing WORK R�.,/Altenlbn REbctric <br />fYPE SDamdtt'�� � SfO� 7Y►E �,j Nsw �.,,] Ws <br />L.) ap�klMe�nc U oaix <br />�� a CIT1' OF EVEIIETT LOCAL SALEi TAA (:ODE D N05 <br />wo�ac oescroFnoN <br />2�00 � ia�N ��Pe <br />340 2 ��,.t �,NE <br />,,,�� r�P� <br />NO. � TTE OF flXTURE OR REM <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 6 DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR ORAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICElBAR/MOP/ETC.) <br />OTHER <br />NO. � TYPE OF F1IITYIIE OR IfE1A <br />MC — MiANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEATPUMP <br />UNIT MEATERS <br />CLOTHES ORYER <br />RANGE FIOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />(iAS F�REPLACE <br />GAS RAN(3E <br />GAS PIPING <br />El(HAUST FAN <br />OTHER <br />I HEREBV CERITIFY THI171 HAVE READ AND EXAMINEO TMIS APPLICATION ANp KMOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF UWS AND ORIDINACES GOVERN�NG THIS TYPE OF WORK WILL BE COMPLIED WITM NRiETMER SPEGFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AU7HORITY TO VpUTE OR GNCEL THE PROVISION OF ANY OTMER <br />STATE OR LOCAL UW REGUUTING CONSiRUCTION OR THE PERFORMANCE OF CpNSTRUC7p11, 7H/�T 1 AM AUT110RI�D BV THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WMKx1 APPLICATION IS MI10E AND I COMPLV WfRI THE STATE <br />CONTRACTORS UW 18.27 RCW �No �ax �m w�c , <br />Z <br />