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SITE <br />TENANTNAME <br />��RMIT APPLICATI N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-6857 - www.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br />NO. � BLOCK <br />CONTR. LICENSE N <br />USE OF BUILDING <br />WORK DESCRIPTION <br />N0. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />BalhWb <br />Lac3tory (wash basin) <br />Shower <br />Kilchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/barlmop/etc.) <br />BackOow prevenler <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease trap <br />Roof drains <br />Olher <br />PARCEL TAX I.D. M <br />TRACT OR SUBDIVISION K <br />FOR <br />•LL�1 <br />PHONE <br />— HEAT SOURCE / I CONTRACT PRICE vF wonn <br />/ <br />Electric _ Gas �Other <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Ezhaustfan <br />Heal pump <br />Unil heater <br />Boiler <br />Refrigeration <br />Woodstove <br />CITY OF EVERETT IOCAL SALES TAX CODE IS 7105 <br />I hereby ceriliy Ihal I have read ard examined lhis applicalion and know the same to be true a�d correct. All provisions of laws and <br />ordinaces governing lhis lype of work will be complied wilh whelher specified herein or not. The granting ot a pertnit dces not presume <br />to give aulhonty to violate or cancel the provision of any olher stale or local law regula6ng constnicdon or the perfortnance ot <br />construclion. That a�p'� onzed by Ihe owner of this property to pertorm lhe work for which applicalion is made and I comply with the <br />Slate Conlractor/y� Y 7WRCW and 296.200 WAC. ��/� `� / <br />1 n <br />