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SITE ADDRESS <br />,� <br />LEGAL LOT N0, <br />OESC. <br />OWNE� <br />TENANTNAME <br />CONTRACTOR <br />CONTR. LICENSE A � <br />USE OP BUILDING <br />WORK DESCRIPTION <br />PErtMIT APPLlCATIOIv <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.e��erettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL <br />TRACT <br />CONTACT FOR PERMIT <br />ADDRESS <br />HEAT SOURCE <br />_ Electric _ Gas <br />/>�t�ol s� %���= <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Dathtub <br />Lavatory (wash basin) <br />Sliower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washor <br />Walor hoater <br />Sink (servlce/badmop/olc.) <br />Backllow proventer <br />Urinal <br />Drinking Fauntain <br />Floor drain <br />Groaso lrap <br />Roof drains <br />Olher _ <br />PERMIT # <br />[� 0 70 �F -G <br />PHONE <br />CITY2IP PHONE <br />I CONTRACT PRICE OF WORK <br />Olhar <br />NO. � TYPE OF FIXTURE OR ITEM <br />A/C — air handling unils <br />Forced air systems <br />Gas piping <br />Water healer <br />Gas fireplaco <br />Gas rango <br />G�vhos dryer <br />Ranga hood <br />Exhauslfan <br />Heal pump <br />Unit hoator <br />�oller <br />Re(rigeration <br />Woodslove <br />Other <br />CIN OF EVEI.ETT LOCAL SALES TAJC CODE IS 3105 <br />I heroby ceritify thal I havo read and examined lhis applicalion and know lhe same to be true and correct. All provielons of laws and <br />ordinacos govorning this lypo of work will be complied with whether specified herein or nol. The granling of a permit does nol presume <br />to givo aulhority to violato or cancel the provislon of any olher stale ur local law regulaling wnsWcUon or Iha pedormance of <br />construction. That I am aulhorizod by Iho ownor of Ihis proparty lo perform lhe work for which application Is made and I comply wilh lhe <br />Stalo Contractors Law 18.27 RCW and 296.200 WAC. <br />