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SITE <br />l cRMIT APPLICAT�.�N <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 />ie5s <br />) cZ1�g • �. <br />LOTNO. BLOCK <br />TENANTNAME <br />CONTR. LICENSE # <br />USE OF BUILDING <br />v�if��lhGl�.� <br />WORK DESCRIPTION" <br />1��j(N .�'i �Ji�c_� <br />PARCEL TAX I.D. # <br />TRACT OR SUBDIVIS�ON # <br />ADDRESS <br />��: �g ��,, <br />CONTACT FOR PERMIT <br />2� �2Z+-(�-E" <br />HEAT SOURCE <br />_ Electric _ Gas _ Other <br />I/�7—o� <br />PERMIT N <br />�nR I I- <br />cas��� <br />PMONE <br />PRICE OF WORK <br />ICJ�� O���fJ� � `. ' �0�.�.R 5 <br />Ci <br />PLUMBING <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kilchen sink & disposal <br />Oishwasher <br />Clothes washer <br />Water heater <br />Sink (service/bar/mop/etc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease lrap <br />Roof drains <br />Other <br />NO. I TfPE OF FUCTURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clolhes dryer <br />Range hood <br />Exhaust (an <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify Ihal I!•ave read and examined this application and know the samn to be �rue and correct. All provisions of laws and <br />ordinaces governing this type of work will be complied with whether specified herein or not The grenting of a permit does not presume <br />to 9ive�uThoriry to violale or cancel the provision of any other state or Iocal law regulating conslruction or lhe perlormance ot <br />construclion �hat am aulhorized by the owner of this propeAy lo perform lhe work tor which application is made and I wmply with the <br />State Ciontreclo Law 18.27 RCW and 296.200 WAC. <br />��-- �� r�� i7• o� <br />