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. . , <br />LOT NO. <br />PERIVII� AP�LICATIOh�� <br />,., <br />CITY UF EVERETT PERMIT SERVICES . J�" �" <br />3200 CEDAR S?R�GT, EVERFTT, WA 98201 � <br />425-257-8f110 — FAX 425-257-F3S57 -- www.everetiwa.org <br />APPLICATIONS ARE ACCEPTED FROM 0 AM TO 4 PM <br />y�A <br />BLOCK <br />PARCEL 7AX I.D. # <br />00ti�i?�G`OOC�I'2`f�l <br />TRACT OR SUBDIVISION q <br />.,..,...,. Lc�l lo�nf�t q�,� N�._� �,�Li,tVu� v <br />��'ii'�AN'� j�1AiU�mp�-wA-�>1-�2�-c4�3 e,���. <br />TENANT NAME CONTACT FOR PERMIT <br />�'C4 G3AN� �=iN Swa��ct��LiSotv <br />V UIY 1 RM V 1 V I� /�I <br />CON�L ENSE p ���� �u� `�r'� <br />U^,E OF BUILDING <br />'(� � IJ�/hNE=llti <br />WORK DESCRIPTION <br />NO. I TYPE OF FIXTURF.OR ITEM <br />Toilel <br />Bathlub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />WBICf hC21Ef <br />Sink (service/bar/mopletc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease Irap <br />Roof drains <br />Olher <br />HEATSOURCE <br />_ Elr.clric _ Gas _ Olher <br />N0. <br /># <br />qa.s•'�c�� 4s4� <br />PHONE �� , �i� j�, c'� <br />��� I Gsa� • <br />CONTRACT PRICE OF WORK <br />cl;. <br />� ►�?��,00b' <br />TYPE OF FIXTURE OR ITEM <br />NC — air handling units <br />Forced air systems <br />Gas piping <br />Water healer <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaust fan <br />Heal pump <br />Unit healer <br />Boiler <br />Refrigeralion <br />Woodstove <br />CITY DF EVERETT LOCAL SALES TA%CODE IS 3t05 <br />I here6y cerli(y thal I have read and examined Ihis applicalion and know the same lo be true and correcl. All provisions of Iaws and <br />ordinances yoveming Ihis type of vrork will be complied wilh whr,ther specified herein or nol. The grenting ol a oermil does nol presume <br />lo give aulhority lo violale or cancel Ihe provision of any other slate or loca� law regu�ating construclion or lhe periormance of <br />construction That I am authorir.ed by ihe owner ot Ihis prope�ty to per(orm the work (or which applicahon i; made and I comply with Ihe <br />State Con�ieclors Lav/1i1.27 RCW and 296.200 WAC. <br />C. �!%, ��% <br />