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Owl <br />SITE ADDRESS <br />DESC. <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.evereltwa org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. 0 <br />LOT NO. I BLOCK I TRACT OR SUBDIVISION a <br />TENANT NAME <br />CONTR, LICENSE 0 <br />USE OF BUILDING <br />/'^^ <br />----- <br />WORK DESCRIPTR <br />„moo <br />h%1,� <br />/r <br />N(. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (servicelbar/mop/etc.) <br />Backfiow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />:T FOR PERMIT <br />HEAT <br />—Electric _`Q'as' I Other <br />a id <br />PERMIT ft <br />I,U�I�Ic;L-p0/ <br />CITYlisp PHONE '2 O!„ <br />�LJ V;lc) / IK-6b' 7 <br />PHONE C d6 -I/S <br />'nS E-MAIL .L/or-r>' s <br />ZTTVW Cr.�j c 79 <br />CONTRAC RICE OF WORK — <br />g <br />1u.1L g-0/ ) <br />MECHANICAL <br />NO. I TN PE OF FIXTURE OR ITEM <br />_ AC — air handling units <br />_ Fxced air systems <br />_ ( as piping <br />_ Water heater <br />_ Gas fireplace <br />_ Gas range <br />Clothes dryer <br />_ Range hood <br />_ Exhaust fan <br />_ Heat pump <br />Unit heater <br />_ Boiler <br />_ Refrigeration <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL BALES TAX CODE IS 3105 <br />I hereby certify that I have read and examined this application and know the some to be true and correct All provisions of laws and <br />ordinances governing this type of work a complied with • Tether specified herein or not The granting of a permit does not presume <br />to give thorily t ate or Ia&nd6�.:,200WAC. <br />ision of any of. , stale or local law regulating construction or the performance of <br />const cli n. T t I a aul rized ner of this property to perform the work for which application is made and I comply with the <br />State I solo s Le 18. RC <br />