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SITE ADDRESS <br />ri � D �.V I <br />LEGAL LOT NO. <br />NAME <br />c <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.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />BLOCK <br />PARCEI TAX I.D. # <br />TRACT OR SUBDIVISION # <br />CONTACTFOR <br />��rK w <br />PERMIT� <br />�-�`c��t - Ul Z <br />PHONE <br />f �/2S— S�l N —37�� <br />PHONE yzS 6Y7 3�13y <br />� ...,, r„� �- _ ,���,n_.. _ �J� <br />CONTRACTOR�. ��� �ONs�rc�c.�1�eS-zGzo /y3R�1Q� Sr�c�rrVl����`iCG�^� yZS dy7�3 <br />CONTR. LICENSE # ��� COL�+ qZ3LQ <br />USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br />�,^ Eleclric _ Gas __ Olher �+ 30 <br />WORKDESCRIPTION ,Re�e Fr���� Y�� h�� ��rr <br />/ �' <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathlub <br />L�valory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwashcr <br />Clothes washer <br />Water heater <br />Sink (service/bar/mopletcJ <br />EackOow prevenler <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease Irap <br />Roof drains <br />Olher <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling unils <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gasrange <br />Clolhes dryer <br />Ranc�e hood <br />Exhauslfan <br />Heat pump <br />Unil heater <br />Boiler <br />Retrigeration <br />Woodslove <br />CITY OF EVERETT LOCAL SALES T!il( CODE IS 3105 <br />I hereby ceritify thal i have read and examined this applicalion and know lhe same lo be true and corcecL All provisions of laws and <br />ordinaces governing this type of work will be complicd wilh whether speci(ied herein or nol. The granling of a permit does not presume <br />lo give aulhority lo violate or cancel the provision of any olher state or local law regulating corc truciion or the performance of <br />conslruction. That I am authorized by the owner of this property lo perform the work for �vhich application is made and I comply with the <br />Slate Conlractors Law 18.27 RCW and 296.20U WAC. �,/ <br />� <br />