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PERMIT APPLICATiUN <br /> CITY OF EVERETT PERMIT SERV'CES <br /> 3200 CEDAR STREET, EVE�2ETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIONS PRE ACCEPTED FROM 8 AM TO 4 F'M <br /> SITE ADDRESS PARCEL TAX I.D.# � PERMIT#� <br /> � ! ,�'!l�{JCL 1�� 7C��G�'�92� l�i,t�YG' "Z <br /> LEGA LOTNO. BLOCK TRACT <br /> UESC. i. <br /> OWNER ADDRESS CITY/ZIP PHONF <br /> 7 <br /> TENA T NA�1E � CONTACT FOR PERMIT FHONE <br /> CONTRACTOR ADORESS CITY2IP PHONE <br /> CONTR.LICENSE il <br /> USE OF BUILDING I — KEAT SOURCE CONTRACT PRICE OF WORK <br /> Electrir, Gas Olher <br /> WORK DESCRIPTION � <br /> l.i(„i�/ /�/ 1.,�=�`� �� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE qR ITEM <br /> Toilet A/C—air handling unils <br /> BalhWb Foroed air systems <br /> Lavalory(wash basin) Gas piping <br /> Shower Waler healer <br /> Kitchen sink R disposal Gas fireplace <br /> Dishwasher Gasrange <br /> Clothes washer Clolhes dryer <br /> Waler healer Range hood <br /> Sink (servico/bar/mop/etc.) Exhausl fan <br /> Backllow preventer Heat pump <br /> Urin21 Unit heater <br /> Drinking�ountain 6oiler <br /> Floor drain Refrigeration <br /> Greasetrap _ Vvoodstove <br /> Roof drains Olher <br /> Oiher <br /> - -- I - - <br /> CITY OF EVEF ETT LOCAL SALES 7AX COOE IS 3705 <br /> 1 hereby cerilify that I have read and examined this appl cation and know lhe same to be lrue snd correct. All provisions of laws and <br /> ordinaces goveming Ihis type of work will bo complied��ith whether specified herein or nol.The granting o(a permit does nol presume <br /> lo give aulhonty to violate or cancel Ihe provision cf any other slate or local law r�gulating consWcnon or lhe peAormance o( <br /> conslruction.That I art�authorized by the owner o�this property lo perform ihe work for which applicalion is made and I compiy wilh Ihe <br /> Statc Conlraclors Law 18.27 RCW and 296.200 WAC. <br /> Signalwr.of Owner/Contrector/Authorized Agent Date <br />