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A���. 1 2013 9:38AN� <br />SITE AODRESS <br />LEGAL LOTNO. <br />DESC. <br />01YNER <br />�`� i L,'lQ P�.L <br />I[NONT NAh1E <br />G� lf�q �r�� <br />:ONTR��CE� SE , � <br />USE OF BUILDING <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STRE[T, EVERETT, WA g8201 <br />425-257-8810 — FAX 425•257•8857 — wwv�.everetlwa.org <br />APPLICATIONS ARE ACCEPTE� FAOM 8 AM TO 4 PM <br />PARCEL TAX I.D, tt <br />9LOCK TAACTORSU901YISIONN <br />AUDRE95 <br />►�son S�r� <br />� CONTACTFORPERMIT <br />r�i5 <br />EveXeti <br />HEATSOURCE <br />^ Electric �Gas _ Othcr <br />1'0. �21; " ` <br />PHONE � <br />PERh117 J! <br />�g� <br />►+z� 25�1 ��6 k <br />CONiRACT PflICE OF 4YORK <br />(�283 <br />WORK OESCRIPTION � <br />1 nsiU.w qa.s �O� �� r� , 9as fv r�.cz�c� , c�a.s hz.0 <br />���• � TYPE OF FIXTURE OR ITEh1 <br />Talet <br />6dihtuU <br />Lavarory (wash basln) <br />Shower <br />K4chen su�k 6 d�sposal <br />Dlshwasher <br />Ciothes washer <br />Wafor heater <br />Sink (servlco/bar/mop/etc.) <br />Backllow prevenler <br />Urinal <br />Ddnk�np Fountain <br />Floor drain <br />Greasn Irap <br />Rool tl�alns <br />Other <br />N0. I TYpE OF FIXTURE Oq ITEM17 <br />_ �v� - a�r nanaiing unns <br />Forcetl alr systems <br />� Gas plpinp <br />� Waten c�ater <br />Gas lirepleca <br />� Gas ranpe <br />,_ Clmhes tlrycr <br />Range hood <br />_ Exheuslfan <br />_ Heat pump <br />__ Uni� hearor <br />Boiicr <br />Reltiperation <br />Woodslov <br />�_ 0(her f'Y1q..�t.•QG� <br />�J <br />CIIY OF EVERETT LOCAL SAL[S TqX CODE IS 3705 <br />I hereby cerllify iha� 1 havo read and examined Ihis applicatlon and know ihe same to �e true antl :orrect. All provisions ol laws and <br />ortllnaces govyrnin�l this lype of work will be complled with whnlher spaciliea he�ein or noL Tno g,anting ol a permit Uoes nol presume <br />;o ylve authodty lo violnte or cant2l lhe provislon of nny olher stale or Iocal Iaw rugulat�np constr�ciion or tho pnr�ormanco ol <br />ce,-•31ruu�on. 7hni i am auihoriZetl by Ihe owner oi this propeny lo pertorm Ihe wo�k lor whlch eGplicalion is made and I comply v;iih the <br />Sln��, Conlrattors law 1fl27 RCW and 296200 WAC. <br />1 � ��j <br />� i C�`, ;•.n �`� l7 <br />Sie�natu �•.�Owner/CoWac�cr/r�umci�t9d�Agonl Date <br />(.� `J <br />