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SITE ADDR�S <br />LEGA� <br />TENANTNAME <br />CONTk. LICENSE fl <br />USE OF BUILDING <br />WORK DESCRIPT�ON <br />P�MIT 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 �( —/Q — C`'� <br />BLOCK <br />�i�/��/( CF %l/ <br />N0. I TYPE OF FIXTURE OR ITEM <br />Toilel <br />� Bathlub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />� Clothes washer <br />Water heater <br />Sink (service/bar/mopletc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Greasetrap <br />Roof drains <br />Other <br />PARCEL TAX I.D. # <br />TRACT OR SUBDIVISION # <br />�O� <br />/ -`�-,r.� 5� <br />'ACT FOR PERMIT <br />tE�— <br />i� �5� <br />� <br />HEATSOURCE <br />PERMITlf <br />1� d - G�d- <br />PHONE <br />�L5- 3D3//�l <br />PHONE <br />E-MAIL <br />i.n uur rnvn� <br />p�r�,,.�„� �'L� 359 <br />Eleclric Gas Other <br />NO. <br />��9J <br />CONTRACT PRICE OF WORK <br />TYPE OF FIXTURE OR ITEM <br />A/C – air handling unils <br />Forced air systems <br />Gas piping <br />Waler heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />�2ange hood <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Boiler <br />Re(rigeralion <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby cerili(y that 1 have read and examined this applicalion and know tho same lo be true and correct. All provisions of laws and <br />ordinaces governing lhis rype of work will be complied wilh whether speci(ied herein or not The granling oi a permit does nol presume <br />lo c�ive authoriry to violate or cancel the provision of any olher state or ioca� law regulating consWction or the performance of <br />construclion. Thal I am authorized by the owner of Ihis property to perform the work for which application is made and I comply with the <br />Stale Contraclors Lav�vA, 8.27 RCW and 296.200 WAC. <br />/ �i�s,�����-.,..�—� �% f — J% <br />