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RPR-19-2011 13:37 FRGM:C8M HERTING 425-745-1344 <br />` <br />�OT N0. <br />TENANTNAME <br />USE OF BUILOING <br />WOHK OESCRIPTION <br />I nsiu l I <br />T0:14252578657 F:2�4 <br />� <br />PERIIAIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR S7REET, 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 />BLOCK <br />1�15 <br />-}z�n�(Qss <br />7YVE OF FIXTURE OR ITEM <br />Ipt <br />Ihtub <br />�atory (wash basin) <br />�wer <br />:hen sink g disposal <br />hwasher <br />rthes washer <br />ter heater <br />k (,ervice,l�ar/mop/etc.) <br />:ktlow prevenler <br />191 <br />iking Fuuntain <br />or draln <br />:asc trap <br />:! dralns <br />er <br />PARCEL TAX I.D. M <br />TRACT OR SU9DIVISION • <br />HEAiSOURCE <br />� Ele,tric �Gas � Other <br />PERMIT u <br />�� <br />'TZS. L�� t0�� <br />2� (o�oG,6 <br />CONTRACT PRICE OP WORK <br />�n�� 2Z <br />NO. � TYpE OF FlXTURE OR IYEM <br />wc — av nanaung units <br />Forced ai� Systems <br />Gas piping <br />Water heater <br />Gds fireplace <br />Gaz range <br />Clothes dryer <br />Range hood <br />Exhaust lan <br />Hsat pump <br />Unit heater <br />Boiler <br />Retrigeratlon <br />Woodstove <br />CRY pF EVERETT LOCGL SALE ; TAX CACE IS 37a5 <br />I heroby coritily that I have read and examined this application and know the same to be truc and cortect. AII provisions of laws antl <br />ordlnaces poverning this typc of work will be complied with whether specified herein or not. The granting ot a permlt does not presume <br />to pive authority to vlolale or cancel the provision oi any other state or local law regulatinp constrvction or the pertormance of <br />construct�on. That I am aulhorized by the owner oi thls property to pertorm the work for which appiicatlon is made and I comply vAth the <br />State trac'ors Law 1e RCW and 296200 WAC. <br />�(�ce� `I��..�,��c �• f�. I i <br />