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LEGA LOTNO. <br />oesc. <br />OWNER <br />�e�,� �er r <br />TENANTNAYE <br />TRACTOR ,L,R, <br />eorme.ucenses <br />F <br />USE OF BUILDINO <br />� <br />WORK OESCRIPTION <br />j ,n �,�,�-�� <br />� <br />� <br />PERMIT APPLICATION <br />CITY OF EVERET7 P�RMI7 SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />A25-257�810 — FAX 42r257-8857 -- www.Pveretlwa.org <br />APPLICA710NS ARE ACCEP7ED FROM 8 AM TO b PM <br />pARCEL TAX I.D. A <br />BLOCK I 7RA�T <br />I\C�ONTACT FOR PERnMI,T <br />.�JA.1(Y1e 'a, Cu �J Li1.1V-�1 <br />A syv�, � pt <br />1 �9� <br />HEAT SDURCE <br />_ ElCttric � Ges _ Other <br />3 - �or al �. <br />N0. I TYP60FPIXTUREORIIDA <br />Tollet <br />BathtuD <br />Levetory (wash basln) <br />Shower <br />IGtchen cink d disposal <br />Dishwasher <br />Clothes washer <br />Weter heater <br />Sink (servicelbarlmoplete.) <br />Backflow pteventer <br />Urinal <br />Drinking Founfeln <br />Floor drain <br />Grsasetrap <br />Roof dralns <br />Other <br />L'I!� <br />►NONE <br />� --vb —� z <br />.• <br />��ti�. ati� aa8 a�o ���:,, <br />c1 F�t, 6 <br />CONTRACT PRICE OF WORK� <br />��� � <br />7YPE OF FUtTURE OR ITEM <br />NC —air handling units <br />Forced eirsystems <br />Gat PIPirn� <br />Water heater <br />Gas firepince <br />Gas ronga <br />Clothes dryer <br />Range hood <br />E#�aust fan <br />H�at pump <br />Unit heater <br />Bollar <br />Refrigeretion <br />Woodstove <br />other <br />CITY OF EVERETT LOCAL SALES 7AX CODE IS 5706 <br />I hereby certl(y that I hava reaa and examinecl thfa appliCation and know tM same to be truC end COfrect. All provisions of IaNS and <br />ordinances goveming this typa ot work will be compliad wilh whNhar apecifiod herein or not. The prandny of s permit doea not presume <br />to glve autlwrtry ro Wolete or cancel the provielon of any ather stete or local lew regwating conctructlan orthe pertortnana of <br />ca ctio�. Thst 1 am autha d 6y the ownar of this property to partartn the vrortc for which application is made and I camply wRh the <br />�9(ate �ontsc0ors Lew 18.27 �VV and 2�a¢.� WAC. ( � <br />