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ADDRESS <br />28 I � <br />LOT NO. <br />� <br />� <br />TENANTNAME <br />PERMIT APPLICATI()N <br />CITY OF EVERETT PERMIT SERVICES ��5-0 a7 <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />��� � <br />BLOCK <br />CONTR. �NSE M f 1�� C_ <br />USE OF BUILDING <br />WORK DESCRIPTION <br />PARCEL TAX I.D. il <br />TRACT OR SUBDIVISION # <br />CONTACTFORPERMIT <br />Cv�s �rti L�d�`7 r <br />L� �� <br />HEATSOURCE <br />[leclric Gas Olher <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilcl <br />Balh�ub <br />Lavatory (wash basin) <br />Shower <br />Kilchen sink 8 disposal <br />Dishwasher <br />Clolhes washer <br />Waler healer <br />Sink (service/bar/mop/elc.) <br />Backflow preveNer <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Greasetrap <br />Roof drains <br />Olher <br />`� �,c � �� �— <br />� <br />�A � <br />�,� � vo <br />PHONE <br />CONTRACT PRICE OF WORK <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas firepiace <br />Gas range <br />Clotlies dryer <br />Rangu hood <br />Ezhaustfan <br />Heat pump <br />Unil heater <br />Boiler <br />Refrigeration <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TA% CODE �5 7105 <br />I hereby ceriti(y that I have read and examined this application and know lhe same to be true and correcl All provisions of laws and <br />ordinaces governing this type of work will be complied wilh whether speci(ied herein or not. The granting of a permit does not presume <br />to gi�e aut)ior' y to violatc or cancel the provision of any other state or local law regulatiny wnstruction or the periormance of <br />construcq6n , hal I am aulhonz by lhe owner o( Ihis property to perlorm lhe work for which applicalion is made and I comply with the <br />Sta� �� ,, �ors Law 1�� and 296.200 WAC. (�i ��� 4 <br />� O <br />