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ADDRESS <br />LOT NO. <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 C[DAR STREET, EVERETT, WA 98201 <br />425-257-8R10 - FAX 425-257-8857 - www.everetfwa.org <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM 3� �'3 b <br />L� <br />BLOCK TRACT <br />PARCEL TAX I.D. # <br />4)�� i 11 0� ��1 « 1�. .� <br />TENANT N E I CONTACT FOR PERMIT <br />CONTRACTOR ��� (� C ` <br />CONTR. LICENSE N <br />USE OF BUILDING <br />WORK DESCRIPTION <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilc-t <br />Balhlub <br />Lavalory (wash basin) <br />Shower <br />Kilchen sink & disposal <br />Disl:washer <br />Clolhes washer <br />Waler heater <br />Sink (serviceNadmop/etc.) <br />Backflow prevenler <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roo( drains <br />Other <br />ADDRESS �v�� <br />HE:�T SOURCE <br />ElecMc Gas Olher <br />(�'Cll 7�d�_S `Is,)-� i <br />PNONE <br />CITYRIP PHONE <br />I CONTRACT PRICE OF WORK <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling unils <br />Forced air syslems <br />Gas piping <br />Waler healer <br />Gas fireplace <br />Gas range <br />Clolhes dryer <br />Rangn hood <br />Exhaustfan <br />Heat pump <br />Unit healer <br />Boiler <br />Refrigeration <br />Woadstove <br />CITY OF EVERETT LOCAL SALES TA7( CODE IS �105 <br />I hereby cerilify lhat � have road and ezamined this application and know the samo to be We and wrrect. All provisions of taws and <br />ordinaces �overning this fype o( work will bo complied with whether specified herein or noL Tha granting ot a permit does not presuma <br />lo give authority to violate or cancei lhe provision o( any other stato or local law regulating construction or the porfortnanso of <br />�-wnstruciion. That I am aulhorized by tho owner ot this property lo pedorm the work for which applicalion is made and I comply wilh the <br />State Conhactors Law 7�2 R(.'1N"�n�Z9G200�WAC. <br />���_�� _ti ���:�\ 3•- � � �_ C� �- <br />