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SITE ADDRESS <br />g;�ry ►2ko <br />CONTR. UCENSE p <br />USE OF BUILDING <br />WORK DESCRIPTION <br />�U� �eQ'� ' <br />P�MIT APPLICATI�I <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 />��tiilLo�y6 <br />TYPE OF FIXTURE OR ITEM <br />iouet <br />Bathtub <br />Lavalory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clo�hes washer <br />Water heater <br />Sink (service/badmo <br />Backflo�v prevenler <br />Urinal <br />Drinking Pount n <br />F�oor drain <br />Grease tr <br />R�o(dr ' s <br />PARCEL TAX I.D. # <br />TRACT OR SUBDIVISION k <br />q�Nv At�e Nz <br />. . .- - <br />;�..�., . � <br />ixt �v� /Sy�� yf <br />Eleclric f Gas <br />�p y'tilYO�+�� <br />/ <br />�- le� I�� <br />�'Y 1 l <br />��ti-zz3-36 36 <br />TYPE OF FI%TURE OR ITEM <br />'v�. — an nanouny unns <br />Forced air syslems <br />Gas piping <br />Waler heater <br />Gasfireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaust fan <br />Heal pump <br />Unit heater <br />Boiler <br />I hereby certify that t have read and exami�ed Ihis application and know the same lo be irue and correct. All provisions of laws and <br />ordinances governing lhis type of work will be complied with whether specified herein or not. The granting of a permit does not presume <br />lo give authority to violate or cancel Ihe provision of any othei state or Iocal law regulating construction or the periormance of <br />consiruclion. That I am authorized by the owner of this property to peAorm ihe work (or which applicalion is made and I comply wi�h ihe <br />Stale Coniractors Law 18 27 RCVv and 296.20P WAC. . <br />