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SITE ADDRESS <br />LOT NO. <br />NAME <br />PERMIT APPLICATION <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 />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />3 �(t.�,� r' <br />BLOCK <br />nr�n..�. � S�O� <br />PARCEL TAX I.D. # <br />TRACT OR SUBDIVISION # <br />PERMIT <br />coN��cfoa ��i.� / �33•-Sq �VCL�-�v'NE-�/l7 <br />��11a')LY1,.'��'�(/i / -' <br />9$a�'3 <br />PERMIT # <br />%vl ioa.�-v 3 <br />��� <br />PHON�� S 7�"� <br />3GD-�/3 — <br />rn�n� � <br />-3Gc-rt3 <br />GONTR. LICENSE p <br />,S�.rt� �C�S�S 1 I �_ <br />USE OF BUILDING HEAT SOURCE CONTRACT PRIC`^E OF WORK <br />-C/ � <br />_ Fleciric �_ Gas _ Other G S� <br />WORK DESCRIPTION ^� � /,�q� �/� <br />�l{:9�1a.�y ��'LY�A.'�l' <br />^ i - <br />v <br />PLUMBING <br />NO. I TVP[ OF FIXTURF OR ITEM <br />Toilet <br />�allilub <br />Lava�ory (wasli basin) <br />Showcr <br />Kitchen sink & disposal <br />Dishwusher <br />Clolhes washer <br />Water heater <br />Sink (service/badmopfelcJ <br />BackOow preveMer <br />Urinal <br />Drinkin� Fountain <br />1=1oor drain <br />Grease trap <br />Roof drains <br />Olher _ <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling unils <br />forced air syslems <br />Gas piping <br />Waler heater <br />Gas fireplace <br />Gas range <br />Clolhcs drycr <br />Range hood <br />C-xhuust fan <br />Heal pump <br />Unit heater <br />Bailer <br />Refrigeralion <br />Woodsiove <br />CITY OF EVERETT LOCAI SALES TAX CODE IS 3705 <br />I hereby cerli(y ihat I have read and examinea tllis application anJ hnow ihe samc to bc truo and cormct. All provisinns ot laws and <br />ordinances goveioing ihis rype ol woik will be complied with whelher s�acified herein or not. The granling o( a permil does no� presume <br />lo give authonty to viola�e or cancel Ihe provision o( any olher slale or local law regulaling consWclion or lhe pertormance o( <br />construction, Thal I am authorved by the owner of Ihis properiy lo perTomi the work for which applicalion is made and 1 wmpiy with tl�e <br />Stale Cont�a ctors Law 1827 RCf� and 296200 WAC. / <br />,�/ , ✓1 Cn/. ,e.f /L�lJ k' / � � <br />