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DESC. <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — w�vw.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />��� S STA�,ST- <br />LOT NO. BLOCK <br />PARCEL TAX I.D. # <br />TRACT OR SU9DIVISION k <br />�T � �U`i/�--C(— � <br />TENANTNAME <br />N 1v �-"1— <br />LICENSE p <br />USE OF BUILDING <br />�`3�'�-t��� <br />WORK DESCRIPTION <br />CONTACT FOl2 PERMIT <br />� <br />PHONE <br />�fl —�7—a� <br />PER� yT/! <br />/�� d'�o �-3% <br />'HONE 0 <br />��a1 k��C 16 <br />HEAT SOURCE CONTRACT PRICE OF WORK <br />_ Eleclric _ Gas _ Olher <br />NO. I TYPE OF FI%TURE OR ITEM <br />Toilet <br />Balhlub <br />Lavalory (�vash basin) <br />Shower <br />Kilchen sink & disposal <br />Dishwasher <br />Clolhes washer <br />Watcr heater <br />Sink (service/badmop/etc.l <br />6ack(lo�v preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease lrap <br />Roof drains <br />Olher <br />, /�p� S "� J "�`J <br />/J <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C - air handling unils <br />Forced air systems <br />Z Gas pipin9 „Qx� ^s� >'-- <br />'Nater heater <br />� Gas (ireplace <br />Gas range <br />Clo.hes dryer <br />Range hood <br />Exhausltan <br />Heat pump <br />Unit heater <br />Boiler <br />Rafrigeration <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TA% CODE IS 3105 <br />I hereby ceritify Ihal I have read and examined ihis applicalion and know ihe same to be true and correcl. All provisions of laws a�d <br />ordinaces governing Ihis type of work will bc complied with wliether specifed herein or nof. The granting oi a permi� does aol presume <br />lo give aulhority to violalr. or wncel the provision o( any olher state or local law regulaling consiruclion or the periormance of <br />construction�TttBlTartt�ithorized by thn owner o( Ihis property to perform the work for which application is made and I wmply with the <br />Slale Co�actors Law 78.27 RCW and 296.200 WAC. <br />n����� ��(��IQ� <br />