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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVEPETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE DRE FA CEL TAX I.D.0 PE IT # <br />t )0 vS 1' -va Ski 00 <br />DESC. TEG <br />LOT BLOCK 'C 1, �DW� lt: Ra <br />U �......� <br />Covzwoo�tl1v`1oM�,uC G��k� o�cS\e'I�0\ LP1 C <br />TE HT NAME ONTACT` R PERIT <br />r� <br />U&N Ir 1 �+`rv"�-' EMAIL' 1 ,m 1%v3C�' i <br />O 1 NSWO�� 5.7(•551,�bi 4ea�Sic;\ie;QA-�,�o-'L�ti <br />VVV <br />LIRE �OF B ILOINO — HEAT SOURCE ONTRACT PRICE OF WORK <br />Electric Gas Other III <br />WORK DEbCRIPTION <br />er uuoruv: i-- s�rrunwr•nr <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />_ Bathtub <br />_ Lavatory (wash basin) <br />Shower <br />Killion sink It: disposal <br />D,shwasher <br />Clothes washer <br />Water heater <br />Sink (service/bar/mopretc.) <br />Backflow proventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />_ Grosse trap <br />Roof drains <br />Other _ <br />i40. 1 TYPE OF FIXTURE OR ITEM <br />A/C —air handling 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 Ian <br />_ Heat pump <br />Unit heater <br />_ Boiler <br />_ Refrigeration <br />Woodslove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby coritity that I have read and examined this application and know the same to be true and correct. All provisions of laws and <br />ordinaces governing this typo of work will be complied with whether specified herein or not. The granting of a permit does not presume <br />to give authority to violate or cancel the provision of any other stale or local law regulating construction or the performance of <br />cony coon. ThaQ am authorized by the owner of this properly to perform the work for which application is made and I comply with the <br />a16 StContracltY L w 18.117 RCW and 296.200 WAC. i <br />MS <br />