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� <br />un. "[L 2013 12:19PIv1 <br />SITE AD RESS <br />V1�i�i <br />IEGA LOT NO. <br />DESC. <br />OWNER <br />__�"IG�" ZU <br />TENAN7NAM[ <br />cm � �nq Inc. <br />CONiR� C � $E <br />USE OF BUILDING <br />PERMIT APPLICATION <br />CITY OF EVERETT pERMIT SERVICES <br />3200 CEDAR S7REET, EVERETT, Wq g8207 <br />425-257-8810 — FAX 425-257-13gg7 _ �yH,W,everellwa.org <br />APPLICATIONS ARE 4.CCEpTED FROM 8 AM TO 4 PM <br />BLOCK <br />��i5 <br />PAHCEL TA%I.D, # <br />TqACT Oq SUBDIVISION p <br />cvex�ett <br />H[ATSOURC6 <br />�Electnc ,_Gas„Other <br />WOHK DLSCRIPTION <br />Ins�-� E I �-f�s.� l�a.c� ���,E,�v <br />��0• TYpE OF FIXTUNE O(1 ITEId <br />TOile( <br />_ Oathlub <br />_ Lavnlory (wash basin) <br />_ � Shower <br />. KllChen sink R disUosol <br />.._� Dichwasher <br />__ Clotl�os washer <br />Waier huam� <br />_ Sink (5orvitC/bar/mop/elc.) <br />Oackllow prcvoNer <br />� Unnal <br />Dnnkinp Founlain <br />_� Floo� drain <br />, GrcaSe Irpp <br />_ Hooldrains <br />_ Olhrr <br />�o. a�s9 P z <br />�a 4 �� 3 <br />PEq�.11T p <br />m�3o�-0� <br />� <br />y2.5� <br />u2aZ5���,6;� <br />CONTpACT pqICE OF WORK <br />'��18z.�o9 <br />N0. I 7YPE OF FI%TURE OR ITEA7 <br />� �v�—annanmmpumis <br />Porced air systems <br />� GnS pipinp <br />water hoater <br />i Gas Ilreplace <br />_ Gas rnnpu <br />__ Cloihos drym <br />,._ Ranpc hoal <br />Er.haust lan <br />� Iluot pumry <br />,_ Unil heater <br />E3oiler <br />� Retngeration <br />` WOOd;lovc <br />Olher <br />CITY OF EVEpLR IOCA� $pLESTAX CODL' IS J1U5 <br />I her�by cerlt�fy Ihei I have �ead and rxnmmed this appllcallon and hnow �he same to be true and corrr.ti. Ail piovislons ol lnws and <br />ordinac�e pnvmrung thi, typo ot work wlll be comphed wi�h whelher SpucAlr.tl hereln or nol. The graalinq ol n permit dous noi pre,umu <br />to.prve aulhnnry Io vlolale or r,ancel Ihe proviclon ol any u!her slate or local law rep�lalinp consimclion or ihe perlormanc? ot <br />con;uucl�un. Thal I am ao�horized �y �ho ownur ol rhis prcpedy m pnAorm Ihe work ior which appiication iS maJe d��U I cOmply wilh Ihn <br />SITIO COnIrlC10l5 L8W 18.27 FCW �nr/ 9ot, onn wnn <br />