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PERMIT APPLICATION <br />CITY CF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425.257-8810 - FAX 425-257-8857 - wtvw.everettwe org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM / a - 17 —1 -) <br />SITE ADDRESS I PARCEL TAX I.D. Is I PERMIT A_ ', k,"i <br />DESC <br />LOT NO. I ULOCK I TRACTOR <br />l CONTACT FOR PERMIT PHONE <br />.. of m t (L1 Cy "VN_A-. E uAu <br />c�aA n � o .1 DnP s yy cI t ' P`pTYrLa <br />�y6,�rE aW aye <br />CONTR LICENSE a r'] _ \ n ,� r ,� P1 <br />p0 <br />USE OF BUILDING L Q I NEAT SOURCE I CONTRACT PRICE OF WORK <br />z".1ric —Gall —Other 1 . I q6 <br />WORK ESCRIPTION <br />I Y)'} rI . Q'L_�>3 rr"—? <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 d4posol <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/barlmopretc. ) <br />Backflow preve tler <br />Urinal <br />Drinking Fountain <br />rloor dram <br />Grease nap <br />Roof drains <br />Other <br />NO. I TYPE OF FIXTURE OR ITEM <br />_ A/C — air handling units <br />_ Forced air systems <br />_ Gas pping <br />_ Water heater <br />_ Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Ethaust fan <br />= Final pump <br />Unit heater <br />_ Boller <br />Refrigeration <br />Woodstove <br />Gther <br />CITY OF MRETT LOCAL SALES TAX CODE 18 3105 <br />I hereby eCNly that I have read and examined this application and know the same to be true and correct. All provisions of laws and <br />ordinances governing this type of work will be complied with whether specified herein or not The granting of a permit does not presume <br />t0 give authority t0 violate or cancel the provision of any Other state or local taw regulating Construction or the performance of <br />coriMf cUon. That I am authota d by the owner of this property to perform e work for which application is mode and I comply with the <br />P4ate f onuactors Law 18 27 PqN mend 2ss.200 WAC I <br />ru <br />