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LEGAL LOTNO. <br />DESC. <br />OWNER <br />TE T NAME • <br />i <br />CONTRACTOR <br />CONTR. NSE # <br />USE OF BUILDING <br />PERMIT APPLICATI�N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM S AM TO 4 PM <br />PARCEL TAX I.D. # <br />BLOCK /� TRACT <br />CONTACT FOR PERMIT <br />ADDRESS <br />�Y r 1�-�-�, �-/ <br />WORK DESCRIPTION <br />�%�!��"-' � <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clolhes washer <br />Water heater <br />Sink (servicelbadmop/elcJ <br />Backflow prevenler <br />Urinal <br />Drinking Fountain <br />Fioor drain <br />Grease trap <br />Roof drains <br />Other <br />HEAT SOURCE <br />_ Electric _ Gas _ Other <br />� !� <br />PHONE <br />CITY2IP PHONE <br />I CONTRACT PRICE OF WORK <br />NO. � TYPE OF FIXTURE OR ITEM <br />A/C— air handling units <br />Forced air syslems <br />Gas piping <br />Water heater <br />Gas Tireplace <br />Gasrange <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heal pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstave <br />Olher <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify Ihal I have read and examined lhis application and know the same to be lrue and correct. All provisions of laws and <br />ordinaces governing this lype of work will be complied with whether specified herein or not. The granting of a permit does not presume <br />to give authority to violale or cancel the provision of any other stale or local law regulating construction or the performance of <br />construclion. Thal I am authorized by the owner of lhis property lo periorm lhe work for which applicalion is made and I comply wilh the <br />State Conlractors Law 18.27 RCW and 296.200 WAC. <br />% <br />