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OL/03/�008 THU 16� 30 Pn% 4=5 869 BOBB Tri Mechanical Inc. �002/003 <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.evereitwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TA%�.D.p PERMIT p <br /> 003 ws. � � �/ — 3 <br /> LEGA LOT N0. BLOCK THACT OR SUBOIVISION p <br /> �ESC. <br /> �l9 ER DOR SS ITY21P P O <br /> �(JGI✓l� <br /> TENANT NAM CONTACT FOR PEPMIT Pt10NE �-/j S-(�$/ "a 00 <br /> � GL�....n i c a � I ' I� �1,C C�.�O//'Gl� EMAILYI1' l�e...Coi�e// ��'�i c� <br /> —7ib6AE5 7ZIR—PF7�AE— c..r 1 ./.ce, <br /> CONTR.LICEHSE M <br /> USE OF BUILDING HEAT SOURCE CONTflACT PRICE OF WORK <br /> {�'1 .F�j- (6��� a�G�111� -.--Electric _Gas_Other I �S�O �v <br /> �=t <br /> WORK DESCRIPTIO�— ' <br /> �r� R��'� rG�'.��� �' � �f � n;-l- o Z.,e.00, un; Ex;• ,� <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM NO. TYPE OF FI1(TURE OR ITEM <br /> ___ Toile� � q�C-air handling units <br /> _ Bathtub Forced air systems <br /> _ Lavalory(wasl�basui) Gas pipin� <br /> Shower Water heater <br /> _ Kitthen sink b disposal Gas tireplace <br /> ____ Dishwashw Gas rangc <br /> __ Ciothos washer Clothes dryer <br /> _ Water heater Range hood <br /> Sink(serviceibadmop/etc.) 6xhaust lan <br /> ... �ackllovr prevc�ter _ Hcat pump <br /> _ Urinal Unil healer <br /> _ Drinking Fountain 0oiler <br /> _ _ FIOor drain � R8lrigerUtiOn <br /> ..___ G�easclrap Woodstove <br /> Rool drains Oihe� <br /> Other — <br /> qTV OF EVFRETT LOCAL SALES TA%CODE IS 3105 <br /> I hereby ceiilily Uiat I have read and ea2minetl Ih�s application and know the same lo be Iruo and coirect. Ail provisions of laws nntl <br /> ordinaces govorning Ih�s lype of woik will be complied with whelher specilied herein or not.The grantinq ol a pormit tloos nol presume <br /> to give autho�ity to s�olate or cancel the provision ol any other slate or local law regulating construclion or Ihe perlormance ol <br /> � consuuclion.That I arn authorizea by ihe owner of Ihis propony to perlorm the work lor which application is matle an0 I comply with Ihe <br /> ' State Contraclors Law 18.27 RCW anG 296.200 WAC. <br /> SignaWre ol wner/Contractor/AuOiorized Agem Date <br /> I <br />