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SITE ADDkESS <br />' G3 <br />LEGAL LOT NO. <br />DESC. <br />OWNER <br />� ;u , <br />TENANT NAM1IE <br />Cl`NTRACTOR <br />CONTR. LICENSE ll / <br />� <br />USE OF BUILDING <br />WORK DESCRIPTION <br />PERMIT �4PPLICATION <br />CITY OF EVERET7 PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, Wr". 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. # <br />BLOCK I TRACT <br />ICONTACT FOR PERMIT <br />ADDRESS <br />HEATSOURCE <br />Eleclric Gas Other <br />j��o1s� ���� <br />NO. I NPE OF FIXTURE OR ITE�A <br />Toiiel <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clolhos washer <br />Walor heater <br />Sink (service/badmop/elc.) <br />BackOow prevenler <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />PERMIT p <br />PHONE <br />CITYI.?IP PHONE <br />I CONTRACT PRICE OF WORK <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forcad air sysloms <br />Gas piping <br />Water heater <br />Gas fireptaco <br />Gas range <br />Clothes dryer <br />Rangohood <br />Exhaustfan <br />Healpump <br />Unit heater <br />Boiler <br />Re(r(gerallon <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAI SALES TAX CODE IS 3705 <br />I hereby ,:erilify that I have road and examined lhis application and know lha same lo be lrue and cortecl. All provisions of laws and <br />ordinacos governing lhis typo of work will be complied wilh whelher specified herein or not. The granting of a permit does not presume <br />to give authonly to violato or cancel the provision of any olher slate or local law regulating construcUon or ihe performance of <br />construction. That I am authorized by the owner of lhis property lo poriorm lhe work (or which applicalion (s made and I comply wilh lhe <br />Slate Conlractors Law 18.27 RCW and 2U6.200 WAC. <br />