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� <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.evereriwa.org <br />Toilet <br />Bathtub <br />Lavalory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clolhes washer <br />Water heater <br />Sink (service/bar/mop/etc.) <br />Backflow preventer <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease lrap <br />Roof drains <br />Olher <br />APPLICATIONS ARE ACCEPTED FROM 6 AM TO 4 PM � <br />FVG — alr nana�ing unns <br />Forced air systems <br />Gas piping <br />Waler heater <br />Gas fireplace <br />Gas range <br />Clolhes dryer <br />Range hood <br />E�chaust fan <br />Heat pump <br />Unit healer <br />Boiler <br />Refrigeration <br />Woodstove <br />� --�6-08 <br />I hereby ceritify ihat I have read and examined this application and know the same to be lrue and correct. All provisions of laws and <br />ordinaces governing this lype of work will I�e complied wilh whelher specified herein or not. The granting of a permit does not presume <br />to give authorily to violate or cancel lhe provision of any other stale or local law regulating construction or the performance of <br />consiruclion. That I am authorized by the owner of this property to perform the work for which application is made and I comply with the <br />State Conlraclors Law 18.27 RCW and 296.200 WAC. <br />Signature o( OwnedContractor/Aulhorized Agenl Dale <br />