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SITE <br />LOT NO. <br />7ENANT NMAE <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 />- PARCEL TAX I.D. i1 <br />aS1 ��YIV - (�J-4 <br />BLOCK TRACT OR SUBdVISION � <br />CONTACTFOR <br />E.V <br />PHONE <br />PERMIT N <br />conrn�crort— ] ,•�•����� � • ....,..� <br />1-ef�.=e�ner�ti�S������5 q3�;1 P,nu,���.r�� .�afi�e �o+„ �rz5- <br />COHTH. UCENSE-I{�Gr�c�"Gr\n( ^� �C �N � l`ril �� ��� <br />�F -1 \ <br />USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br />� ' <br />�jS1 hi �,��� _[lectric _ Gas � Other �� � y'�C�+ <br />WORK DESCRIPTION - <br />1 I i � V� �`�= �: C.Uui- �L.�., �: LJa� �l�t .� <br />� l L `Z� C i i \-�l l V Y\ 0.�C_. :_ r <br />PLUMBING <br />NO. I TYPE OF FlXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavalory (wash basin) <br />Shawer <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Wa�er heater <br />Sink (servica/bar/mop/etc.) <br />_ Backflow preventer � <br />Urinal j <br />_ Drinking Fountain � <br />Floor drain <br />_ Grease trap/ � <br />Rool draips <br />NO. I TYPE OF FlXiURE OR IIEM <br />A/C - air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas lireplace <br />Gasrange <br />Clothes dryer <br />f;ange hood <br />Eahaustfan <br />Heal pump <br />Unit hea�er <br />Boiier <br />Refrigeration <br />Woodstove <br />Other <br />CITY OF EVERETi LOCAL SALES TA% CODE IS 3105 <br />I hereby ceritily thal I have read and examined ihis application and know the same to be Irue and correct. All provisions of laws and <br />ordinaces governino this type of work will be complied with whelher specified herein or not. The granting of a permit does not presume <br />lo give authority lo violate or cancel the provision of any other state or Iocai law reguiatina conslruction or Ihe performance of <br />construction. That I am authorized by the owner ot this property to perform the work for which application is made and I comply with ihe <br />-State pontredors Law 18.27 RCW and 296200,�NAC. <br />