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<br />USE OF BUILDING
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<br />PERMIT APPLICATION
<br />CITY OF EVEFiETT PERMIT SERVICES
<br />3200 CEDAR STREET, EVERETT, WA 98207
<br />425-257-8810 — FAX 425•257-0857 — vnvv�.evereltwa.org
<br />APPLICATIONS ARE ACCEPTED FR067 0 AM TO 4 Ph1
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<br />� COIITACT FOR p[Rh11T
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<br />HEAT SOl1RCE
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<br />CONTflACT PRICE OF VlORK
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<br />PJOR��ESCRIPTIOtJ
<br />Ins II clas P�P��,gas{t�irnrtcQ,,, ��¢at�urti�� wa�e,�'' hpa�2,�' ,i' �as '�n�i
<br />tJO. I TYPE OF FlXTURE!'1R ITE�A
<br />_ Tollol
<br />_ Balhtub
<br />L�valory (wash 6asin)
<br />Shower
<br />. Kllchen sink 8 disposal
<br />Dishwashor
<br />CloUies washcr
<br />Water I�eater
<br />_ Slnk (sarvice/badrnop/etc.)
<br />l3ackllow prevenlar
<br />Urynal
<br />�rinkina Fountaln
<br />Fiaor draln
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<br />Fool dralns
<br />Olher
<br />���• I TYPE OF FlXTUfl[ OH ITEt.1
<br />A/G — alr handling uniL
<br />J Farcedalrsystem,945'��i��
<br />,y� Gas plping
<br />.J_ Water healer
<br />_L Gas liroplaco
<br />Gas ranpo
<br />Clolhes dryor
<br />Ran�ohaotl
<br />` Exhaust fan
<br />� Haai pump
<br />_. _ Unit healcr
<br />Bollor
<br />_ Relrlperalion
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<br />CITY OF EVERETT LOCAL SALES TAX COOE 19 3105
<br />i hereby curilily Ihat I havo raad and ezamined Ih1c applicotlon and know tho samo lo bo Iruo and correct. All provlslons ol la�:rs and
<br />ordlnaces govemina thls typo of work wlll bo complled with wholhor speclliod horeln or ncl. The c�ranifng ol a permll does nol pre,ume
<br />lo pive aulhodry to violalo or wncel thu provislon ol any alhor slale or local taw repulalinp conslrucllon or lho performanco ol •
<br />conslrudian. That I am aulhorized by tha owner ol Ihl^, propm�y lo padorm Ihe v;ork Icr �vh'ch appllcatlon Is made ar�d I comply wllh the
<br />9tata Comraclars Law 7027 RCW and 296.200 WAC. .
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