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10�27/2009 15;26 3604285659 CPL PLUMBING IN PAC� 01/01 <br /> ` '• IU2l .u°� <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.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRlSS � �.�5 � PAqCEL TAX I.D.iF . PlRMIT�M <br /> m, � e�. _ ���2c�9-�4 <br /> LEGA LOTNO. OIOCK TRACTORSUBDIVISION�M <br /> OESC. <br /> OW � 55 21P NE - <br /> IMur �c.ttt� �c i�.�c A��: 1�Ja.� 6 <br /> T@NANT NAME I CONTACT FOR PEAYIT � PHONF ,�p <br /> 'r,a('sp•yV�•.�L� <br /> c��At�x�•oRS1.t.. i�M- SkI�R.�- �0�� Oc-S�.IU � E•MAIL o/uJcv:,o/u.nb.� .y <br /> GP� P�t�,ty,�fj. � ��.�-n ��. �'2t� 3�Zys zce•yzy:�<ie <br /> COI(TR.LICENSE t � . <br /> USE OF BUILDINO I � HEAT SOURCE I CONTRACt PRICE OF WOpK <br /> �� ( ��y� _Elae(ric _6as_Other <br /> WOBK DESCRIPrION . .. . � . -- � <br /> U�1D42�W1u�•� �WV. �—•u�5t�c:� — /�:p�.ra.0 5—� lNS�tTt�tt� <br /> '� r <br /> PLUMBING ME AL <br /> P10- TYPE OF R%TUflE OR REM � NO. TYDE OF FIXTURE OR REy � <br /> — TO1�et . _ A/C—airhandlinQunMa <br /> _ 6athtub Forpd air systems <br /> _ Lavatory(wash basin) _ Gas piping <br /> _ Shower _ Water haater <br /> � Kitchen sink 8 dispoeal � Gas tireplace <br /> , Dlshwasher � ^ Gas ranye � <br /> � CIOth¢s washer w CIOthEE dryQr � � <br /> _ water neater Ranpe hood <br /> _ Sink(service/yar/mop/etc.) � _ Exhaust fan <br /> � Backflow preventer � ` Heat pump <br /> _ Urinal � Un$haater <br /> _, Drinking FounWin � . _ Boller �. <br /> _ Floor drain � p������ . - ' <br /> _ Grease trep Woodstove <br /> , Roof drains ^ Other <br /> Other <br /> � CITY OF EVERETT LOC1L SA�EB TAX CODE IS 770D � <br /> I hereby cQritiry that I have read and vxamined this appAcallon ar�i know the same to be bua an0 carect. All provlsions ot ly�w�and <br /> otdlndClS povemirp tFtir typg of work wil�be�ompli�d with whctMr tp�ofiW Mrehi M not The p�anti�pF a pennit tloBg IWI pRlUm� <br /> to plv!tutharity to violate or rancei iM provisiWl W eny otnpr sWte 6r kCil IpW rlpulaiirg Cpnlinx.Mion or th!p!I}prynpnpQ p( <br /> consmaction.That i am authorizvd by the ovmer oi thb p�oparty ro per�am Mw work for which applicatlon ia made and I wmpy vuid�th¢ <br /> Stata CoMractors Law 18z7 qCW antl 296.200 V'[AC. <br /> Sipnature o�Own antractonAutrwrizod t �e , . <br />