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SITE ADDRES� <br />� /J <br />LEGAL LOT NO. <br />DESC. <br />OWNER <br />TENANTNAME <br />CONTRACTOR <br />CONTR. LICENSE # <br />USE OF BUILDING <br />WORK DESCRIPTION <br />PERMIT p►PPLICATION <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 B AM TO 4 PM <br />BLOCK <br />PARCEL TAX I.D. # <br />CONTACT FOR PERMIT <br />ADORESS <br />HEAT SOURCE <br />_ Electric _ Gas <br />U ��� <br />IT # <br />PHONE <br />CITY2IP PHONE <br />I CQNTRACT PRICE OF WORK <br />Other <br />���►m�� �s-�i ���.� s c� <br />NO. � TYPE OF FIXTURE OR ITEM <br />Toilet <br />Balhlub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Cblhes washer <br />Water healer <br />Sink (service/bar/mop/elc.) <br />Backflow preventer <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />NO. I Tl'PE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air syslems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gasrange <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstave <br />Other <br />CITY OF EVERETT LOC.\L SALES TAX CODE IS �105 <br />I hereby cerili(y thal I have read and examined this applicalion and know lhe same lo be lrue and correcl. All provisions of �aws and <br />ordinaces governing this type of work will be complied wilh whelher specified herein or noL The granting ot a permit does not presume <br />lo give aulhorily to violale or cancel the provision o( any other slate or Iocal law regulating conslruction or the performance of <br />construclion. Thal I am aulhorized by lhe owner of lhis property to pedorm the work for which applicalion is made and I comply wilh the <br />Slate Con� clo/s Law 1§.2J RCW ' 296200 WAC. C � <br />V �`.A /� I �av ) —� �� <br />