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SITE ADpRE55 <br />� <br />IEGAL LOT NO. <br />DESC. <br />OWNER <br />% P/ � / <br />TE ANTNAMF <br />� <br />t <br />PERMIT APPLICATION <br />i;ITY OF EVERET7 PERMIT SERVICES <br />32Q0 CEDAR STREET, EVERET7, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEpTED FROM 8 AM TO 4 PM <br />9LOCK <br />USE OF 9UILDING �// // � <br />WORK DESCRIPTION <br />NO. I TVPE OF FI%TURE OR ITEM <br />Toilet <br />Ba�htub <br />Levatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />�ishwasher <br />Clothes washer <br />watei neater <br />Sink (service/barlmopJetc.) <br />�acknow preventer <br />Urina� <br />Dnnkir�g Founlain <br />Floor drain <br />Grease trap <br />Roof drains <br />other <br />PARCEL TAX I.D. M <br />TRACT OR 9UBDMSION i <br />CONTAC7 <br />%D/blv � �/, <br />HEAT <br />Eleclric Gas Other <br />�� /3 +�-e/' c3To/� <br /># <br />CONTRACT PRICE OF WORK <br />�;�JlS DO <br />C%�r' C�/>if'. <br />NO. I TYPE OF FIXTURF CR ITEM <br />A/C — air handling units <br />Forced air systems <br />Ges piping ' <br />Water heater <br />Gas fireplace <br />Gas range <br />Clathes dryef <br />Range hood <br />Exheustfan <br />Healpump <br />Unit heater <br />eoiler <br />Refrigeretion <br />Woodstove <br />Other <br />CITY OF EVERE7T LO^Al. SALE9 7AX CODE IS �705 <br />I hereby certify that I havo read and examined thie appliC9tion and know the same to ba true and Conect. All provisions o( laws and <br />ordinances governing ihis type of work will be complied wifh whetner specified herein or not. The granting of a permit does not presume <br />co gwe authority to violate or cancel lne provlsion of any other state or local law regulaling construction or tha pertomtance of <br />construcfion. That I am authorized by ihe owner of this property t� perform the work for which appllcation is made and I comply with tha <br />State Contr�,tors Law 78.27 RCVJ and 296.2D0 WAC. <br />