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12/10/2010 10:58 BEL-RED HEATING & AIR COND. <br />SITE ADDRESS <br />LOT HO. <br />(FAX)4254935354 P.002l003 <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.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. # <br />BLOCK I TRACTORSUBDIVISIONt1 <br />PERMIT# <br />� I l� ��o - ��'f S <br />LL�-uc.�oe�ln �h� 1�5 ���(��IGW�-��hV� �uereE��782c�� 3�{`F- 5(ro� <br />T[NANTNAME I CONTACTfORP[RMIT PHONE <br />E•MAIL <br />',.�,ca-��.. It7l33 `l-,",�pL W �'1�.,IL:�+eo t�Z�� ��c3`5363 <br />CONTR. LICENSE i <br />USE OI BUILDING <br />>1�:��0.n�..1\\ ��G��. <br />WORK �ESCRIPTION <br />��p�� � <br />HEAT SOURCE CONTRACT PRICE OF WORK <br />� �7 aO� <br />_ Eleclric �. Gas _ Olher <br />������-� Cas Fu,�,'�,�� _ �,,�.Q�e���.��iz/fi{r �o z <br />NO. I TYPE OF FIXTURE OR ITEM <br />foilet <br />3alhtub <br />.avatory (wa�h basin) <br />>hawer <br />(ilchen sink 8 tlisposal <br />Uishwasher <br />�;lolhes washer <br />� 11/aterheater <br />,>inic (service/bar/mop/etc.) <br />liack(iow preventer <br />IJrinol <br />I)rinkinc� Fountain <br />F'loordrain <br />C�rease lrap <br />Roofdmins� <br />� O�her <br />NO. <br />TYPE OK FIXTURE OR ITEM <br />AIC - air handlin9 units <br />Forced air syslems <br />Gas piping <br />Weler healer <br />Gas fireplace <br />Gas ranc�e <br />Clothes dryer <br />Ranpe hood <br />Exhaustfan <br />Heat pump <br />Unit healer <br />Boiler <br />Refrigeralion <br />Woodstove <br />Olher _ <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 1105 <br />I hereby certi�y that I have read and examined Ihis appiication and know the seme �o be true and correct. All provisions of laws and <br />ordinances go �}� rnin this type of work will 6e complied with whether specifed herein or not. The granting of a permil does not presume <br />to give authori! II violate or cancel Ihe pmvision oF ar,y other stale or local law regulatinq consWction or lhe perfomiance of <br />constructio !i al I an �authorized by Ihe owner of this property to perform the work forwhich applicalion is made and I tomply w:lh ihe <br />Stat�e oj' r cVu s La 18.27 RCW and 296.200 WAC. j <br />/ / ��/. /� ��Ilbl Ir. <br />