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P�.RMIT APPLICATIt,�V <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />SITE ADDRESS <br />s�ib �;. a ^'-� �� <br />LEGAL LOT N0. <br />DESC. <br />TENANTNAME <br />(�W�iC� <br />CO R. LICENSE # <br />USE OF BUILDING <br />WORK DESCRIPTION <br />� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />BLOCK <br />N0. I TYPE OF FIXTURE OR ITEM <br />Toilel <br />Dathlub <br />Lavatory (wash basin) <br />Sho�tier <br />Kilclien sink & dispos2l <br />Dishwashcr <br />Clolhes washer <br />Walcr healer <br />Sink (service/bar/mop/etc.) <br />DackOo�v prevenler <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease Irap <br />Roo( drains <br />Olher <br />PARCEL TAX I.D. # <br />TRACT OR SUBDIVISION p <br />CONTACT FOR PERMIT <br />(� Sl�cYv� <br />HEATSOURCE <br />[Icctric Gas Other <br />1:,�� Sk' �;� <br />C-1c���~cle <br />PEF.MIT # <br />PHONE <br />CONTRACT PRICE OF WORK <br />NO. I TYPE UF FIXTURE OR ITEM <br />NC — air handling units <br />Forced air systems <br />Gas piping <br />Waler hea�er <br />Gas lireplace <br />Gas range <br />Clolhes drycr <br />Ranc�e hood <br />Exhaustfan <br />Heatpump <br />Unit healer <br />Boiler <br />Refrigeralion <br />Woodslove <br />CITY OF EVERETi LOCAL SALES TAX COOE IS 3105 <br />I hereby cerilify thal I have read and examined Ihis applicalion and know lhe same lo be Irue and correct. All provisions of laws and <br />ordinaces governinp this type o( work will be complied �vith �t�hether specified herem or not. The granting of a permit does nol presume <br />lo yive aulhority te violate or cancel lhe provision of any other stalo or local la�v regulalin, conslruction or lhe performance of <br />conslruclion. Thal I am aulhorized by lhe o�vner of lhis property lo perfonn ihe work for which application is made and I comply with the <br />Stal�..Goniraclors La�v 16.27 RCW 2nd 296.200 WAC. <br />—�- O 1 <br />