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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <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 />SITE ADDRESS - PARCEL TAX I.D. # PERMIT # <br />0 <br />L1 loab Iooaao <br />LEGA LOT NO. BLOCK TRACT OR SUBDIVISION # <br />DES C. <br />TENANT <br />ADDRESS <br />`/ <br />CONTACT FOR PERMIT <br />0 ftok.^ oo 4 t1A r� <br />PHONE ?�lO �ZSa•C� S" <br />CONTRACTOR ' �Wa� ADDRESS a 5.CIT�Y/�ZIyP,�.� k CpP�HONE V& <br />CONTR. LICENSE # <br />l+o LA-*bm 37q 0 0 <br />USE OF BUILDING I HEAT SOURCE CONTRACT PRICE OF WORK <br />Electric _ Gas _ Other <br />;CRIPTION ' LP k- t" <br />PLUMBING A MECHANICAL <br />TYPE OF FIXTURE OR ITEM / I NO. I TYPE OF FIXTURE OR ITEM <br />Lava (wash basin) <br />Shower <br />Kitchen sink ispose <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/bar/mop) <br />Backtlow preventer <br />Urinal <br />Drinking Foun n <br />Floor drain <br />Grease p <br />A/C — 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 />Exhaust fan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />Othe <br />"I CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify.that 1 have read and examined this application and know the same to be true and correct. All provisions of laws and <br />ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume <br />to 4Co <br />ntytoviolatl the provision of any other state or local law regulating construction or the performance of <br />co That authorized by the owner of this property to pe rm th work for which application is made and I comply with the <br />St a 18/�7 F�CW and 2�' 0 WAAC. ^ —� , ' <br />