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c3�`\a'`��1 t'�rn`' pERMI� APPLICATION <br />��� �� ��� CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www-everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />ADDRESS <br />LOTNO. � BLOCK <br />51�u'r0 �\Z'Z,� 1� a- <br />TENAN7NAME <br />� P��r��� <br />-. . -. �� „n� <br />USE OF BUILDING <br />� Y� ���� � <br />PARCEL TAX I.D. # <br />OR Sl1BDIVISION tt <br />ICONTACT FOR PEflMIT <br />PHONE <br />auunwo �l ��,/ <br />� ���15 5, t u�er�a�. �Jcti.�� ,� <br />�I � <br />HEAT SOURCE I CONTRACT PRICE OF WORK <br />Electric _ Gas _ Olher <br />. -- - <br />WORKDESCRIPTION \`��� �V \`��� ��-�C`,�� �� 1�,�/1�' <br />S��a��a-h�-�n � � <br />Ck�1 ,c.- ,�,vr���a ��r�.� da� e� ���'Y�,� Q <br />q P "� ..��......�., <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />BalhWb <br />_ Lavalory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clolhes washcr <br />Water heater <br />Sink (service/bar/mop/eic.) <br />Backllow preventer <br />Urinal <br />Drinking Pounlain <br />floor drain <br />Grcase irap <br />Rool drains <br />Olher <br />NO. I NPE OF FIXTURE OR ITEM <br />A/C - air handling units <br />Forced air systems <br />Gas piping .k <br />Walerheatcr %��� � w <br />Gas fireplace l�,J � � � �" <br />Gas range `,� !-� CLC-� <br />Clothesdryer �^ � ` <br />Range hood <br />Exhausllan <br />I-leat pump <br />Unil healer <br />Boiler <br />Refrigeration <br />Woodslove <br />CITY Of EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby cerilify that I have read and ezamined Ihis applicalion and koow the same to be lrue and correcl. All provisions ol laws and <br />ordinaces goveminc� Ihis type ol work will be complied with whelher specilied herein or noL The granting of a permit does not presume <br />to give aNhorily to violale or cancel the provision o( any other stale or local law regulaling conslmcYnn or the pedormance ol <br />construclion. Thal I am authorized by Ihe owner of Ihis property to pedorm the work (or which app' .�tion is made and I comply wilh the <br />State Con�ractors Law 18.27 RC�J and ?96200 WAC. _ 1^ Iw e) <br />