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FERMIT APPLICATIt�N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />42:i-257-8810 - FAX 425-257-8857 - www.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />s—o 3-06 <br />SITE ADDRESS ���! %� PARCEL TAX I.D. # PERMIT X <br />',i!_�C 11�Ph� cn�l �D '�� � /�—.?�J�— l,10/-1�lSf�— DOZ I J( �y0 �— � <br />NO. I BLOCK I TRACT <br />fJCj �[(.C�i�l%f` <br />CONTR. LICENSE # <br />�� C' / <br />USE OF <br />WORK DESCRIPTION <br />�- <br />PERMIT <br />A�DRESS <br />�'-�1rT ,v <br />>i� � �r'c�w �iJs �`J�L <br />;�' iv`—s� "�.�" <br />HEAT SOURCE <br />33.�"- /r�1/ <br />CITYIZIP PHONE <br />�,//sG�..� o,e 9r�3 '�°�S's�`- <br />Eleclric Gas Olher <br />��u �%� /'�/� �.---�. ,,,� �-,�� <br />NO. � TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavalory (wash basin) <br />Shower <br />Kilchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/badmop/etc.) <br />Backllow prevenler <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roo( drains <br />Other �'�°-v.— >ic.ic <br />� <br />CONTRACT PR�CE OF NiORK <br />NO. I TYPE OF FIXTURE 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 />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unit healer <br />Boiler <br />Re(rigeration <br />Woodstove , <br />CITY OF EVERETT LOCAI SALES TAX COUE IS 3105 <br />/�� <br />���� <br />i- evz-� <br />I hereby ceriti(y lhal I have read and examined lhis application and know the same to be lrue and correct. All pro��isions oi laws and <br />ordinaces c�overning this type of work will ba complied with whether specified herein or nol. The granting of a permit does not presume <br />lo give aulhoriry lo violate or cancel the provision of any other slale or local lav. regulaling construction or the performance of <br />conslruction. That I am authorized by the owner of this property to perform lhe work for which applicalion is made and I comply wilh lhe <br />Sta�a Contrar.lors Law 18.27 RCW and 296.200 W 4C. <br />