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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT. WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.evarettwa.org <br />APPLICATIONS ARE ACCEPTED FROM a AM TO 4 PM <br />SITE PARCEL TAX I.D.�,R � PERi IT e ' O� <br />LE LOT NO. BLOCK TRACT OR SUBDMSION S tf 71C �� <br />DES C. <br />YC_ ( ADDRES N 1 <br />TENANT NAME �.IlV layv SG PHONE <br />_ CONTACT (M I 3n�fs� �D6 <br />I fY1.i 'i 0.� CJ C�!'1.I�A�1 t E#W <br />co.r <br />CONTR. LICINEES PL. =iQ W4- <br />USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br />Electric �0 Gas __ Other <br />WORK DESCRIPTION C t n�t q Cl s r t <br />�, � � t- �t <br />PLUMENNO EC ANICAL <br />NO. TYPE OF 14XTURE OR ITEM NO. I TYPE OF FDRURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />IOtchen link 8 disposal <br />Dishwasher <br />Clothes washer <br />Wator heater <br />Sink (senricelbertmop/etc.) <br />Back low prevemer <br />Udnsl <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />AM — air handling units <br />Forced air systems <br />Gos piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaust fan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 31015 <br />I hereby car* that I have read and examined this opplicaticm and know the Same to be true and correct. All nroNslons of laws and <br />ordinances governing this type of work will be compiled wit. whether Specified herein or not. The grangno of a Dremft does not presume <br />to give authority to violate or cancel the provision of any other state or local low regulating oonstruction or the performance of <br />co ction. That I am authorr"dd by Vie owner of the property to perform the work for which application is made and I comply with the <br />plate ontractms Law 1Q•27)RgNand 2K200 WAC. ! I <br />