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Oc�.28. 2013 12:35PM <br />SITE ADORESS <br />LOT NO. <br />7ENANT NAR1E <br />USE OF �UILDING <br />PERMIT APPLI�ATION <br />CITY OF E�/ERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERET7, Wp ggZp� <br />425-257-8810 — FAX 425-257-8857 — www,everettwa,org <br />APPLICATIONS ARE ACCEPTEp FROM 8 AM TO 4 PM <br />�A � I PAFiCELTAX I.G, # <br />1i <br />e�OCK � � TRAc70R <br />WORKDESCRIPTION 1�S�I1 (.IC�,� <br />�. <br />NO. I TYPE OF FlXTUH[ OR I7EM11 <br />_` TOIICI <br />Bathtub <br />_ Lavaiory (wash basin) <br />_ Shotver <br />Kilchen sink R di5posal <br />Dlshrrashcr <br />� Clothoc washor <br />� Wator heater <br />_ SinK (Service/bar/mop/e1cJ <br />6ackllow prevemor <br />Urinal <br />� Drinking Founlain <br />Floor drain <br />� Greasr.lry� <br />Rool drahi; <br />_ 0!hat __ _ <br />;1 <br />fOR PGFMIT <br />EveXett <br />HEATSOURCE <br />,_Elactdc ✓ Gas_Olher <br />�vo.9420 ?. 2 <br />PHONE <br />rwac,e. , gas �� p; v�q <br />-- a—�'� 3 <br />PE^Rld7iT ti /' n <br />1/I� J�O�V�IJ <br />�F�Sz�,�r��;6� <br />COWTRAC� PRICB OF WORK <br />���• � riPE OF FIXNRL" UH ITEM <br />A/C — �ir handlinp unlls <br />Porced air sy,tems <br />_�_ Gas pipinp <br />Waler haaler <br />` Gas lireplacc <br />_ Gas ranpe <br />Clmhes diyer <br />Ranpr.hootl <br />[xhaustlan <br />� Hcal Nump <br />� Unit healer <br />Boi�er <br />� Rcldneration <br />Woudel Avr. <br />1_ Other [�C�� �f I�Q_�� <br />v <br />CITY OF [yE-REl? LOCAL SALES'IAX COpC IS 31U5 <br />I hereby cerliity Ihat I have read and ^xamined ihis appllcaUon and know ihe saine to be i�vo and corrr.a. Aq provlsions of laws end <br />ortlinates govr,rninp �hls lype o( work wlll hu cOmpli�d wllh whelher spocilied herein ur not. The granhnp oI a permll does nol presumo <br />to givo auihonly to violate or canC?I the provision ol nny otlier stale or lacal �aw repulatinp construction or Ihe pedormar�ce ot <br />conetrucUon, That I am outhoriced by Ille owner of Ihis proporty lo poAorm Vie work lor which applicallon i, mnde and I compiy w�ih ihe <br />State Conlraaors Law 1a.27 RCN! and 296.200 WAC. <br />