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PERMIT APPL,ICATION <br />CITY OF EVERETT PENMIT SERVICES <br />3200 CEDAR STREET, EVE RETT, WA 987_01 <br />425•257-8810 — FAX 425•257-88:7 — www•everettwa.orfl <br />APPUCATIONS ARE ACCEPTEO FFiOAA 8 AM TO 4 PM <br />SITC- ADDRESS <br />('Q (� l � �I!� t <br />IGGA LOTNO. � oL <br />DE-SC. � <br />PAHCEL TAX I.U. M <br />TAACT OR SUBDIVI:70H f <br />♦ � <br />�vo�o�oc� <br />,2_��_oi� <br />n� D`31 Z�D�� <br />PERMR M <br />TEN/JR NAME I ........--. . -... _. _-. <br />E�IdA1L <br />��1'1'1 CO wt�-S� �e.�alS � a� 8 6(�ab <br />CON7Ti. LJCENSE t ,�, „� � 4,— ._ �.;� c.�-'� �-1 u an Q� DS'� <br />USE OF BUIL�IN6 <br />WORK �ESCRIPTION <br />`P,�place <br />��p, � TYpEOFFlXNREORfiEN <br />Toilol <br />Bathlub <br />Lavatory (wnsh basin) <br />Showcr <br />Kitchan s�nk & disposal <br />Dishwastror <br />Clothos washor <br />W ator hoater <br />Sirh (sonic0�b�lmOplelc.) <br />�ackllow pravonler <br />�rinal <br />Drinking Fountain <br />Fioor drain <br />Groasetrep <br />Rool drains <br />Olher <br />SOURCE <br />EJecuic <br />'t" LL�r�LJ�C� <br />CONTRACT PRICE OF WORK <br />Othor <br />Np, I TfpEOFFIXTUREORREM <br />NC — air handling uNts <br />� �orced air systems <br />Gas pipitq <br />W ater heater <br />Gas firepiace <br />Ges ranpe <br />Clothes dryer <br />Ranpa hood <br />Exhausllan <br />Fleat pump <br />Unit healor <br />Doilor <br />Retriperation <br />Waodstove <br />— Otha <br />CfTY OF EVEPETT LOCAL SALE5TA7( OD�E tS 7105 <br />I heroby ceriGly tlia� I have road and examined Ihis appiication and know L'ie same to be we and cortecL AII provisions ol laws arrJ <br />ordinacos govemin4 this type ol work will be compiied wilh vrhether speci6ed horein or nol. The granting ol a pormit does not presumc+ <br />io y�e authority to violata or car�col fhe provis(on ot any other stale or local law repulatinp construd�U� �e andal campty with tho <br />constructi�. �iliat I am authorizod by �he owner ol this property to parform Q�e worlc f°r w�'� ePp' <br />St�to Contiactors ,1827 RCW ajf, `� wA� ��,, � JO � <br />Y% d%1 'hJ/ � <br />,��„na;uro <br />