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SITE <br />DESC. <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, \'VA 98201 <br />425-257-8810 — FAX 425-257-8857 — ww�v.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 6 AM TO 4 PM %�— 6—� <br />PARCEL TAX I.D. # <br />�cf �'��- , <br />TRPi:i ORSUBUIVISIONp <br />PERMIT # <br />TENANT NpM1AE__ I CONTADT POR PERMIT � PHONE 1 � C\G ,]I 1/ _,Q �/� C <br />\J �I�yV �7'll� �C7� <br />TR R A R �Til�IZIT� (��—^? I� T <br />CONTR. LICENSE A /'�-� � ^ /I <br />I J(�� 11� <br />USE OF BUILDING I HEAT SOURCE I CONTRACT PRICE OF WORK <br />WORK <br />NO, � TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathlub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposai <br />�ishwasher <br />Clothes washer <br />Water hea�er <br />Sink (service/bar/mop/etcJ <br />BackOav preventer <br />Urinal <br />Drinking Pauntain <br />Floor drain <br />Greasc trap <br />_ Roo(drains <br />_ Olher. __ _ <br />Eleciric Gas Other <br />NO. � TYpE OF FIXTURE OR ITEM <br />A/C – air handling unils <br />Forced air systems <br />Gas Nipin9 <br />Water heater <br />Gas fireplace <br />Gas range <br />Clolhes dryer <br />Range hood <br />Exhaust fan <br />Heat pump <br />Uni� healer <br />Boiler <br />_ Retrigeration <br />__ Woodstove <br />_ Other _ <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 7705 <br />I hereby certify Ihat I have read and examined this application and know lhe same to be Irue and corcecl. All provisions of laws and <br />ordinances governing lhis type ot work will be complied with whelher specified herein or not. The granting of a permit does not presume <br />to give authority to violate or cancel Ihe provision of any other slate or local law regulating consiruc�ion or the performance of <br />construction. That I am aulhorized by Ihe ovmer of this property �o perform Ihe work forwhich application is made and I comply wilh ihe <br />�te Contracto�w 15.27 RCW and 296200 WAC._� <br />