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I <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 />SITE ADDRESS <br />PARCEL TAX I.D. # � <br />PERIT <br />LEGAL LOT NO. <br />BLOCK <br />TRACT OR SUBDIVISION # <br />DESC. <br />___.. _ <br />........� <br />VYVIVCK <br />G�'/1��f�dJ//✓C W,0771o/'PTy s1,(; 7 <br />TENANT NAME CONTACT FOR PERMIT PHONE _F, <br />514�1✓6- Q/✓ �✓ E-MAIL <br />_____ rirvrno PHONE <br />CON I KAI I UK <br />CONTR. LICENSE # <br />USE OF BUILDING HEATS RCE I CONTRACT PRICE OF WORK <br />Electric _Gas _Other t0z <br />WORK DESCRIPTION <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />NO. TYPE OF FIXTURE OR ITEM <br />A/C - airhandlingunits <br />_ <br />Toilet <br />Bathtub <br />Forced air systems <br />_ <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />/ -7- <br />_ <br />- <br />Gas piping <br />Water heater <br />Gas rangece <br />Gas range <br />Clothes dryer <br />_ <br />_ <br />_ <br />_ <br />_ <br />Clothes washer <br />- <br />hange hood <br />_ <br />Water healer <br />T <br />Exhaust fan <br />Sink(service/bar/mop/etc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Heat pump <br />Unit heater <br />Boiler <br />Refr_ <br />_ <br />_ <br />_ <br />_ <br />Floordrain <br />Woodration <br />s ova <br />Grease trap <br />Roof drains <br />_Other <br />Other <br />_ <br />_ <br />Other. <br />— <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and <br />ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume <br />to give authority to violate or cancel the provision of any other state or local law regulating construction or the performance of <br />construction. That I am authorized by the owner of this property to perform the worK for which application is made and I comply with the <br />State C ra ors Law 18.27 RCW and 296.200 WAC. <br />%ifs 7. <br />