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JUL-7-2011 07:31 FRINI:CBM HEATING 425-745-1344 <br />� <br />SI7E <br />DESC. <br />T0:14252578857 P:2�5 <br />r <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />320a CEDAR STREET, EVERETT, WA 98201 <br />425-257•8810 — FAX 425•257-8857 — www.evereftwa.org <br />APPUCATIONS ARE ACCEPTED FROMI 8 AM 70 4 PM <br />LOT NO. • � I BLOCK <br />CONTR.UCEN3E� <br />USE OI' �ULDINR <br />PARCEL TAX I.D. R <br />; `5on U �?3 it��l I <br />ICONTACTFORI <br />'\ . . • <br />' 1Ni5 f <br />� 095R4 <br />WORK CESCRIPnoN <br />Re� lo�+ ��c� <br />N0. � TYPE OF FlXTURE OR ITEM <br />Tollet <br />DatMub <br />Lavatory (wasb basin) <br />ShOw¢f <br />Kltchen �ink & disposal <br />Oishwasher <br />Clotha� wa5hor <br />water neater <br />Sink (service(badmop/etc.j <br />BackBow preventar <br />IJrinal <br />Drinking Fountafn <br />Floor dratn <br />Grease trap <br />Pooi dralns <br />Other <br />/ <br />�� .'.[ir , <br />HEAT80URCE <br />_Elec+fic xGas_Other <br />�(�. b�l ti�' <br />• <br />�Z5 <br />t� �7J 4J�1 �01c�000 <br />�/3//3 <br />CONTRACT PRIC! OF WORK <br />HO. I 7YPE OF N%RIRE Op REM <br />A/C - alr handling unile <br />� Forcedaireyslsmc <br />6ae pipinq <br />W71pr hppt9r <br />Gas fireplace <br />— CSas ranpe <br />Clothes dq�er <br />— Ra�g¢ nooa <br />^ Exhauattan <br />� Heat pump <br />�_ UnR heate- <br />y Boiier <br />Retrigeration <br />W oodstove <br />_ Other <br />CITY OF EVEFET7 LOCAL SAL[e TAX CODE Is atos <br />I h¢rcby ceritity that � have read and examined this appl'ication and know the sarne fo be in�e and correet. All proNsione d lawc and <br />oMlnacc+e governir� this type of work will be camplied with whether epecified herein or not. The grantirrA of a permR doQc not presume <br />to p��e euthodry to vlolate or cancel the provision ol any other state or local law regNallnp construdion or ihe performanpe of <br />cOnetruetion. That � am aWhorized 6y lhe owner of this properry to per7orm ihe work tot which application i� mede erM I comply with the <br />Slate Cor�ft�ctors Law 1 B.r2,7_�RCW and 296200 WAC. _ _ <br />I <br />