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SITE ADDRES$� <br />LEGAL LOT N0. <br />DESC. �Q-.� <br />TENANTNAME <br />CONTR. LICENSE # <br />USE UF BUILDING <br />�/ � <br />WORK DESCRIPTION <br />FiRMIT APPLICATII,iV <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETf, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.evereriwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />s� S�' <br />BLOCK <br />3 <br />YI�� <br />P <br />PARCEL TAX I.D. # <br />OR <br />�i� 12�7 8 /Il��u <br />CONTACT FOR PERMIT <br />HEATSOURCE <br />�ctric _ Gas _ 01her <br />�f�ld'`-- <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />BalhWb <br />Lavatory (wash basin) <br />Shower <br />Kitclien sink & disposal <br />Dishwasher <br />Clothes washer <br />Waler heater <br />Sink (servicelbarlmoplelc.) <br />Backflow prevenler <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease lrap <br />Roof drains <br />Other <br />❑r <br />� <br />PHONE <br />CONTRACT PRICE OF WORK <br />��io,a�c�� d� <br />NO. I TYPE OF FIXTURE OR ITEM <br />AIC — air handling unils <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaust fan <br />Heal pump <br />Unit hea�er <br />Eioiler <br />Refrigeralion <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify Ihat 1 have read and examined this applicalion and know lhe same to be true and correct. All provisions of laws and <br />ordinances governing this type o( work wili be complied with whether specified herein or not. The granting of a permit does nol presume <br />to give authority lo violale or cancet the provision of any other slate or local law regulaling construction or the performance of <br />consiructior, Th tl am aulhori d b,tfie o ner of this property to perform the work for which application is made and I compiy with the <br />State Contract� Law 18.27�W�nd �00 WAC. � � <br />