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c <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-?_57-8810 — FAX 425-257-8857 — www.everettwa.org <br />SITE ADORESS <br />�b3� �E �v�u7 <br />LEGA LOTkO. <br />����� � � <br />� ACTO <br />CONTR. LICENSE k <br />USE OF BUILDING <br />G � 2CN <br />WORK DESC,iiIPTION <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />BLOCK <br />PARCEL TAX I.D. # <br />TRACT OR SUBDIVISION # <br />�sau �� � � <br />CONTACT FOR PERMIT <br />� <br />HEATSOURC'e <br />_ Eleciric _ Gas _ Olher <br />0 <br />�6�oB5ol�� 3 <br />s5 0 „13 <br />CONTRACT PRICE OF WORK <br />N D�T�9+.rt- � w.Qk.rlEyr�e'�75 (,UIIL �7E 1'7`�E �i iT%ts � 1�E� <br />�4' d�le�n►.�C- ���-� IN <br />N0. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shawer <br />Kitchen sink & disposal <br />Dish�vasher <br />Clothes washer <br />Water healer <br />Sink (service/bar/mop;etc.) <br />Backflow preventer <br />Urina� <br />Drinking Founlain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />C�-Ifl+�C�-o �- �c �� � � <br />N0. I TYPE OF FIXTURE OR ITEM <br />WC — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unit hearor <br />Boiler <br />Relrigeration <br />Woodstove <br />�iher <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby cen�ity lha� I have read and examined ihis application and know the same to be true and correcL All provisions of laws and <br />ordinaces govarning ihis type ot work will be complied with whether specified herein or not. The granting of a permit does not presume <br />to give authority to violate or cancel �he provisien of any other state or local law regulating cons�ructior� or the performance of <br />construclion. That I am ay� nz ihe owner of this property to perform the work for which application is made and I comply with the <br />State ontra rs Law t8.�i-RQW a 296.200 WAC. <br />