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PERNlIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8610 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />CONTR. LICENSE # <br />B ILDING ' <br />q kl ma/�r =�%t,vnrt�� <br />WORK DESCRIPTION <br />Ne�1 Cm�f�Acl��r► <br />Toilet <br />Balhtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clcthes washer <br />Waler heater <br />Sink (service/bar/mop/cte.) <br />DackPo•.v preventer <br />Urinal <br />Drinking Founlain <br />�"ioor drain <br />Grease trap <br />Roo( drains <br />Olher <br />PARCEL TAl( I.D.11 <br />�n5i�oo�b2 <br />ADURESS �7�5/7� CITY2IP <br />a��5 D�, �a�cS��ens, <br />_ Electric �, Gas _ Other <br />,,� <br />( 4Z5)�.3a �733 <br />(�fu� �5 �E9ao a <br />�425�9a3-4778 <br />TYPE OF FIXTURE OR ITEM <br />w�. — air nanuuny umis <br />Forced air systems <br />Gas piping . . . <br />Water heater <br />Gas fireplace <br />Gasrange <br />Clothes dryer <br />Range hood <br />Exhausl fan <br />Heat pump <br />Unit heater <br />Bailer <br />Re(rigeralion <br />Woodslove <br />Olher <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby cerilily Ihal I have read and examined this application and know lhe same lo be true and correcl. AII provisions of laws and <br />urdinaces �overning this typo of work will be complied wilh whelher specified herein or noL The granting of a permil does nol presume <br />to give aulhoriry lo violate or cancel Ihe provision ot any other state or local law regulaling construclion or the performance of <br />conslruclion. That I am aulhorized by lhe owner o( thls property lo pedorm lho work for which application is made and I comply wilh the <br />Stato Contractors Law 18.27 RCW and 296.200 WAC. � � <br />