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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3" CEDAR STREET, e4ERETT, WA 9M1 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS PARCEL TAX I.D. # PERMIT # <br />1 jr-4�,� S( Gl�uc &I Il o r�-0 l <br />LEGA LOT NO. BLOCK TRACT OR SUBDiVISION # <br />DESC. <br />TENANT NAME CONTACT FOR PERMIT 1�PHONE <br />L <br />CONTR. <br />.auvrtCJJ :J <br />,l�t.rctti� �f�lot��„rrt. (yl4� <br />4;f <br />"'n.a �d- I�: O} <br />USE OF BUILDING I — <br />HEATSOURCE I CONTRACT PRICE OF WORK <br />— <br />/ Electric Gas Other <br />WORK DESCRIPTION <br />Zc <br />PLUMBING MECHANICAL <br />NO. I TYPE OF FIXTURE OR ITEM NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (servi _e/bar/mop/etc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Firer drain <br />Grease trap <br />Roof drains <br />Other <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 />Exhaust fan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />Otner <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify that I have read and examined this application and know the same to be true and correct. All provisions of laws and <br />ordinates governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume <br />to give authority to violate or cancel the provision of any other state or local law regulating construction or the performance of <br />construction. That I am authorized by the owner of this property to perform the work for which application is made and I comply with the <br />State-CNlractors Law 16.27 RCW ar)d 296.200 WAC. <br />