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SITE ADDRESS <br />CONTRACTOR <br />—� t — <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 />PARCEL TAX I.D. A <br />�p�. �.-� q�oc�o•o3� •oo <br />BLOCK T�T <br />�oortess unmr <br />\� ko S . �Y2.Sie.vec'g �S�ie�eu' <br />h1W ,'�d #� 2L� <br />I CONTACT FOR PERMIT <br />� Y' 1 I'� <br />ADDRE83 CITflLP <br />� � r7—O7 <br />�/,��// /�' <br />RMIT tl <br />� / <br />PHO�zS•33 ' <br />PHONE 65 73 <br />PNONE <br />CONTP_ LICEN9E t �� �� N�y �� <br />USE t�F BUILDING I HEAT SOURCE I CONTRACT PRICE OF WORK <br />YYORK DESCRIPT101V <br />p�p, I TYPE OF FIXTURE OR ITEM <br />Toilet � ' <br />Bathtub jl <br />Lavarory (wash basin) � � � I <br />Showeri <br />IGtchen sink 8 disposal� <br />Dishwasheq <br />Clothes washerl <br />Sink (servicelbarlmop/etc.) <br />BackFlow preventer <br />Urinal <br />Drinking Fountain <br />Floor drein <br />Grease trap <br />Root drains <br />Other <br />_ Electric _ Gas _ Other <br />pp, I TYPE OP FII(TURE OR ITEM <br />AIC - eir handling unAs <br />Forced air systems <br />Gas pipiny <br />Water heater <br />Gas fireplace <br />Gasrange <br />Clothes dryer <br />Range hood <br />Exhaustfen <br />Heal pump <br />Und heater <br />Boiler <br />Retrigeralion <br />Woodstove <br />, Other <br />GTY OF EVERETT LOCAL SALES TA%COOE IS 3106 <br />I hereby ceritiy lhal I have read and examined this appiication and know lhe same to be true and correct. All provisions of lews and <br />ordinaces goveming this type of work wiil be complied wilh whelher soedfied herein or nol. The granting of a pertnit does not presume <br />to give authority to violate or cancel the p�ovision of any other state or lowl law regulating construhcation s m de a del comply with the <br />construdion. That 1 authorized by the owner of ihis property to perfortn the woric for which app' <br />�._._.-...,�.�M...��a �vk�W and 296.200 WAC. _ , <br />�L <br />