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RFR-13-2011 i�8:57 FROf4:C&t1 HEATIt�G 425-745-1344 <br />T0:14252578857 P:2'6 <br />PERMIT APPLICATION <br />CIT`r OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 96201 <br />425•257•8810 — FAX 425-257•8857 — w�nnv.everelt�Na.org <br />APPLICA710N5 ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADORE55 <br />S; 0 I Cc.'I b t`�e, <br />LF_GAL LOTNO. � BLOI <br />DE6C. <br />OW NER <br />��v� f�eav�_ <br />TENANT tJ AR7E <br />t�1 Ura�in� �YIL f�l1�v <br />CONTA.LICGN -A <br />ati�N��� a�SR�f <br />USE OF DUIL�ING <br />WORK DESCRIPTION <br />P,an �as [-i�+-e-, <br />; ns���+ ac�1 A <br />PARCEL 7AX I.D. # <br />FOR PERMR <br />EVet'� q82A1 <br />HEATSOURCE <br />�Electrtc '✓Gas�0lher <br />}p 14ZG�, 2 -r�P's , <br />gAs �replace. <br />N0. I TYP[ OF FlXTUFlE OR iTEM <br />Balhtub <br />, _ Lavatory (wash basin) <br />Shower <br />Ki!chen sink & disposal <br />!- �IGhwasher <br />�— Ciothes washer <br />W atcr heater <br />� Slnk (servlce/bar/mop�etc.) <br />9�ckflow provenler <br />Urinal <br />Ddnkinp Fountain <br />Floor drain <br />� Grcase trap <br />Aoof dralns <br />Other <br />►-o�-�e., a.vld ��Q <br />PERMIT A <br />'(� � � U�I - OL3 <br />� PHONG <br />��� ?.0�42�9s7q <br />riioNe <br />L-M/L' L�Fl€�— <br />za z� taCa6 ro <br />COPITRACT PRIC6 OF WORK <br />5q�3 � <br />insiu.If a �as <br />NO. I TYPE OF FIXTURE Oq ITEM <br />A/C - air handiing units <br />Forced air systems <br />Gas piping <br />1Nater heater <br />Gas tireplace <br />Gas range <br />Clothes dryer <br />Rangc hood <br />Exhaustfan <br />Heat pump <br />Unit healer <br />Boiler <br />Reftiger�tion <br />Woodslove <br />Other <br />CITY OF EVERETT I,OCAL 3ALES Tlilf CODE IS a105 <br />I heroby cerhlly thal I have read and examined this application and know Ihe same to be tnie and correct. AII provisions ot laws and <br />ordinsees governing this �ype o1 work +vill be complied wiih whelher specaied hereln or not. The granting of a permit dces not presume <br />10 Olve authoriry to violate or cancel ihe provision o� any olher state or iocal law reputating con,truction or the pertormanee of <br />con;truction. That I am authorized by the o�mer of this propedy to pertorm the work for which appliwtion is made and I compry wi(h ihe <br />Siate CaNracto�s Law t A.7_7 RCW and 296.200 WAC. <br />� �"J'1� <br />