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FROM :Evergreen State Heat 8 Ri� FRX N0. :4252596660 Sep. 27 2010 01:35PM PS <br /> �R . c� _ L,SI-�.�..�. ��� --- <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 �..'a7—/O <br /> 425-257-8810-FAX425-257-8857-www.everettwa.org � �009�Oy�0 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.�t PERMIT k <br /> �� . I�v 4 �BUI9'Uy7o M► -o�-t� <br /> LEOAL LOT NO. BLOLK TRACT OR SUBDIVISION A <br /> pESC. <br /> WNE ADDRESS ITVIZIP CH NE <br /> � �-I�5 P ��l q�� <br /> TENANT N E CONTACT FOR PERMR PHONE 1.��,rJ_�cj7 311 <br /> V w ' � `�'' LW Vd-�l. E-MAIL�W V� PS'SI�I.IQ � <br /> �1`1,AnC�q�` �i0..�10` �-� �'�(l�.-�e�.9 <br /> GONTR.LIC6NSE N � �O �'��,r��� I 'Y � �� <br /> OVPYASS O��OT �?t � P4Ci c. cl`i ���� <br /> �E OF B ILDING HEAT 3�RCE CONTRACT PRICE OF WORK <br /> ��,`� I _Elecltic rGas�Other I �� r <br /> WORK OESCRIpT10N <br /> �� �, c��- o �- <br /> PLUMBING MEC ANICAL <br /> NO. TVPE OP FI)CiURE OR REM N0. TVPE OF FlXTURE OR ITEM <br /> _ TOilet A/C—airhandlinguni(s <br /> � Dnthtub Forcotlairsystoms <br /> Levatory(wash bosln) Gas piping <br /> Showet Walar hoatnr <br /> ,_._ Kitchen slnk&dlsposal Gas tlreplace <br /> _ Dlshwasher Gasrange <br /> Clolhes weshor Clothes dryer <br /> Wator heater _ Range hood <br /> Sink(sorvlce/bAr/mopletc.) „^ Exhaust tan <br /> J 6ackAow prevanter Hent pump <br /> Urinal ,_ Unit heater <br /> J Orinking Fountein �, Ooilar <br /> _ Floordrein keirlgeratlon <br /> Greaso irap Woodslove <br /> Roo(drains Othef <br /> Othar _ <br /> GTY OF EVERE7T IOCAL 8ALE8 SA%CO�E IS J705 <br /> I haroby certify that 1 hnva reatl and�ramined thls appllcation and know the same lo be Irun and correct. Ail provisions of laws and <br /> ordinances governing this type of work will be complied with whether spedfied Nerein or nol.Tho pianling of a permit does not presume <br /> fo glve authorily to violata or cancel Iho provisian aF nny other stolo or local Iow reguloting constructlon ar the performance of <br /> construclion.Thet I em authonzad by Iho owne�of this proportY to pedomi the vrork for which applicalion Is made end I comply with the <br /> S o C traCtors Law 18.27 RCW and 296.200 WAC. <br /> , ` 1 g-�a�-1 � <br /> Slg 2turo o er ontract /Aulhonzed Agent �e <br />