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AUG-�34-2n1� 1'L:O7 PM <br />81TE <br />u <br />LOT <br />coHni. uceNee R <br />U9E OF BUILqNO <br />� <br />PERMIT APPLICATION <br />CITY OF EVERE7T PERM17 SERVICES <br />320� CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 475-257-8857 - www.everotlwa.ory <br />APPLICATIONB ARE ACCEPTED fROM E AIM TO 1 PM <br />PARCEL TAX I.p. A <br />�e u �i�: <br />:K TRACT ORlUBDINlION � <br />�Y- � N(��I- �hr,��s� G�� <br />^ I CONTACi FOR PlMNT <br />tiPa'hn9 <br />WORK DESCRIPTION <br />r n s�Q llq �i an <br />NO. � IYPE OP FIKTUIIE OR REM <br />BatMuD <br />Lavatory (wesh badn) <br />9hower <br />Kltchen Nnk & dleposel <br />DleMvasher <br />Clothea waeher <br />Weter heater <br />Slnk (seMoelbar/moplutC.) <br />Beckflow preventer <br />Urinal <br />Drinking Fountain <br />Floor dreln <br />Oreaee trep <br />Roof dreins <br />OthCr <br />�3�n <br />P-02 <br />PERMR N <br />!i� 1f ),'1�6 - <br />_�;�r�rr�� �s.�19-6�5 <br />PHONE <br />�x <br />(.c i� g3y-y�� i <br />HEAT SOURCE CONTRACT PRICL (�F WORK <br />� ElecVic �Ge� _ Qther 3�� <br />o� qir �andrfion►n� �-+n,�` <br />NO. � TYPE OF FlICTURE OR ITEM <br />AIC — Blr h6ndllnp UnHe <br />Forced eir syuem. <br />Oas plpinp <br />We6er heater <br />Gaa fireplsoe <br />Gee range <br />CloMes dryer <br />Ran9e hood <br />Exhauatfan <br />Heatpump <br />Unit heeter <br />Bdkr <br />Rehlgeretlon <br />Wootlstove <br />Other <br />CIN OF EV[0.CR LOCAL sALE6 7A1f CODE IS �tOE <br />I hereby certify lhet I heve reed end euemined lhis application and ktlow lhe seme to be true and aorted. All provisions of lewa end <br />ordinences paveminp U11e rype of Wo�k �II bo complled wlth whether apecllled heieln or nnt. Tha prantlnq of e psrtnil dos6 not prosume <br />to give euthority tc vlolate or cance' �+r ,�evinicn of any otlxr stete or local law regulating coneW�tion or the pertortn�nae of <br />conet an. 'fhet �I gaWm auMrorized by .ne owner of thia property to perTorm l�e work for wt�lch applicetlon is mads and I wmply wim the <br />Stete �1 n�n � I��.i��200 WAC. I/l l.l cl / �(7� ' � <br />U <br />