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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 — wrww.everettwa.Drg <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br />SITE ADDRESS 1 PARCEL TAX I.D.4 ^eE^ / <br />�O� T � � �dJ�QQ��� I /VIR� I,a <br />i� 0� <br />LEOAr LOT N_ BLOCK TRACT OR SUnDIVIS1ON a -_- <br />DESC <br />--��_ I .ku IYU L (N t$LA^A-!\ - l ..__ It <br />CONTR. LICENSE f <br />USE OF BUILDING <br />WORK DESCRIPTION <br />PLUMBING <br />NO, I TYPE OF FIXTURE Olt ITEM <br />Topim <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (snrvrcelbOMmoplete.I <br />Dacknow preYnnior <br />Unnal <br />Drinking Fountain <br />Floordrain <br />Grease trap <br />Roor drains <br />Other_ <br />nunr ouuKt;t: <br />_ Gas _ Omer <br />;�ct��1g, <br />gpot U6 <br />CONTRACT PRICE OF WORK <br />1,4 OV <br />MECHANICAL <br />NO. I TYPE OF FIXTURE OR ITEM <br />w� -mr rlandtmg units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaust fen <br />tleat pump <br />Unit healer <br />Boiler <br />Rehlggratron <br />Woodstovo <br />Other_ <br />-- CITY OF EVERETT LOCAL $ALES TAX CODE IS 370$ <br />1 hereby certify that I have read and examined this application and know the Same to be true and correct. All provisions Of I�aWs and <br />ordinances governing this type of work will be Complied wdh whether Specified hemin or not. The granting of a permit does not presume <br />to give authority to violate or extroal the provision of any other state fir total and ? 200 WAC law regulating construction or the performanc <br />;fate ntracctors Law t$ 27 ftC�✓y e of <br />:On Ction. That I am nulhoriz d by the owner of this property to perform Ina work for which apphcatlOn Is made and I Comply with [tie <br />