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P�RMIT APPLICATIAN <br />CITY OF EVERETT PERMIT SERVlCES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICAT'7NS ARE ACCEPTED FROM B AM TO 4 PM <br />SITE ADDRE55 � <br />�7G�d� .�a. �� <br />LEGAL LOT NO. BLOCK <br />PARCEL TAX I.D. A <br />TRACT OR SUBDIVISION p <br />( '"� ��� <br />TENANTNAME I CONTACTFORPERMIT PHONE <br />E-MAIL <br />TRA R ADDRE <br />CONTR. LICENSE p /��� � � <br />�, <br />USE OF BUILDING � <br />� a� u ��� <br />WORK DESCRIPTION <br />� � <br />HEATSOURCE <br />_ Eleclric _ Gas _ Other <br />r� �� ���-� ���_� <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavalory (wash basin) <br />Shower <br />Kilchen sink 8 disposal <br />Dishwasher <br />Clolhes washer <br />Water healer <br />Sink (servicelbar/moplelc.) <br />Backflow prevenler <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease lrap <br />^oof drains <br />.;hcr <br />?%Ul.�CP <br />n � <br />CONTRACT PRICE OF WORK <br />NO. I TYPE OF FIXTURE OR ITEM <br />{VC — air handling units <br />Forced air syslems <br />Gas piping <br />N'ater heater <br />Gas fireplace <br />Gas range <br />Clolhes dryer <br />Range hood <br />Exhaustian <br />Heat pump <br />Unit healer <br />Boiler <br />Refrigeralion <br />Woodstave <br />Olher <br />CIN OF EVERETT IOCAL SALES TAX CODE IS 3705 <br />I hereby ceritify that I have read and examir.ed this applicalion and know the same to be true and corracL All provisions oF laws and <br />ordinaces governinc� this type of wc rk will be wmplied wilh whether speci(ied herein or noL The granting of a permit does not presume <br />to give authority to violale or cance! the provision ol any other slate or local law regulaling construction or the pedortnance of <br />conslruclion. Thal I am aulhorized by lhe owner of ihis properly lo pedorm the work for which applicalion is made and I comply with the <br />Sla�e Conlractors Law 18.27 RCW and 296.200 WAC. <br />`�L <br />