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SITC- AD/D1RESS <br />l �- � '� <br />LEGAL LOTNO. <br />D[SC. <br />OWNER <br />..xr,� �� <br />TENANTNAME <br />CONTRACTOR �'+I <br />� <br />CONTR. LICENSE # <br />USE OF BUILDING <br />��1����, ������� <br />P�RMI� A�PLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-25%-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS AI: F ACCEPTED FROM 8 AM TO 4 PM <br />BLOCK I TRACT <br />PLUMBING <br />NO. I TYPE OF FIXTURE OR ITEM' <br />Toilet <br />BalhluU <br />lavalory (wash basin) <br />� Shower <br />Kilchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />` Water heater <br />Sink (scrvr..rn•�./map/e!c.) <br />6ackflow preventer <br />Urinal <br />Drinkinc� Founlain <br />Floor drain <br />Grease Irap <br />Roof drains <br />Olher <br />PARCEL TAX I.D. # <br />AUDRESS <br />jnrr� <br />HEAT <br />Electric x Gas <br />,� <br />i �/�l��":l.' . <br />CITY/ZIP <br />CE <br />Other <br />NO. <br />�RMIT # <br />�L �Z _ <br />PHONE <br />�i� � � � �722 2 <br />PHO E <br />PHONE <br />CONTRACT PRICE OF WORK <br />MECHANICAL <br />NPE OF FIXTURE OR ITEM <br />A/C — air handling unils <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clolhes dryer <br />Ranc�e hood <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeralion <br />Woodslove <br />Othcr <br />CITY OF EVERETT LOCAL SALES TFU( COOE IS 3105 <br />I hereby ceriti(y that I have read and examined this application and kno�v the same lo be lrue and correct. All provisions o( laws and <br />ordinaces governing this type o( work will be complied with whelher speci(ied herein or noL The yrenling o( a permit does nol presume <br />to give aulhorily to violale or cancel ihe provision of any olher slate or local law regulating construclion or Ihe performance of <br />constructiun. That I am auth rized by fhe owner o( Ihis property to per(orm the worh (or which application is made and I comply with the <br />Stale Contractors Laav 18.27��CW and 296.200 WAC. ., <br />