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I <br />PERMIT APPLICATIUN <br />�ITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />C��f�<<c�� <br />Toilel <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes wash�r <br />Waler healer �Z 1Cty i � <br />Sink (service/bar/mop/elc.) <br />Backllow preventer <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease trap <br />Roof drains <br />Olher <br />e {f -{C�a MS@� <br />�c�l i ze cf ��� le� <br />A/G — air hanmmg unns <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 heater <br />Boiler <br />Re(rigeration <br />Woodslove <br />Other _ <br />I hereby ceritify thal I have read and examined lhis application and know the same lo be true and correcl. All provisions of Iaws and <br />ordinaces goveming this lype of work will be complied with whether spacified herein or not. The granling o( a permit does nol prt�ume <br />to give aulhorily to violate or cancel the provision of any other state or Iocal law regulaling construction or the performance of <br />construr,tion. Thal I am aulhorized by lhe owner of this property lo perform the work for which applicalion is made and I comply with ihe <br />State C�n�ractors Law 18.27 RCW a�n'd 296200 WAC. <br />i�ii„ ..., i� �i ;'� �,�V.�/I' / ;'� � �� � �� _ <br />