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FROP1 �Everyreen State Heat S P <br /> FRX �10. :4252596669 Dec. 20 2010 12�21Pt•1 P3 <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET. EVERETT.WA 98201 <br /> 425-257-8810-FiJC 425-257-8857-www.evereltwa.org <br /> AppLICATIONS ARE ACCEPTED FROM e AM TO 4 PM <br /> SI7E ADDRESS PARCEL TAX I.D.it PERMIT# <br /> � �3co _ �Y�1 ��� a- o�� <br /> LEOA LOTNO. OLOCK TRACTORSUBDIVISION7t <br /> D[SC. <br /> WF.ER . <br /> APOftE ITYZIP P� a�J ' �(Oc6'� <br /> vv.n-�. �.�.v�-�. -� � �.c� ti �� ��- �� qg ab� <br /> TENANTNAME I CONTACTFORPERMIT PHONE <br /> �-1��5 -�-5� 3 I1� <br /> �-�/t C��, E-MAIL • <br /> �� A SS G PN N <br /> c�Ue��-�ti �odv $1�u.rR-11�.-�0� u ���� �t��'s-btoo3 <br /> CONTR.LICEN9E1! � �T a�� Pa�,�,� -�P —�Q�'}�-�- Q`��7J <br /> �GYe�'Q�S v`� �' � CONTRACTPRICEOFWORK <br /> USE OF 6UILb G I NCAT SOURCE <br /> �� �,EletlnG _GNS_Olher `�.��U ' <br /> �LR,�n C D <br /> WORK DESCRIP710N �t ^� <br /> �u�—�e 5 S —� �� <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIX7URE OR ITEM <br /> Toilet _ A�C-airhantllingunite• <br /> BathWb _ Forcedairsysteros <br /> Lavotory(wash bnsin) Gac plping <br /> Showor _ Watarheater <br /> Kitchen s�nk 8 disposal _ Gas firapiacd <br /> J Dishwasher _ Gas rango <br /> Clothos washer _ Clolhes dryer <br /> Waler haalar _ Range hood <br /> Sink(service/badmop/OIcJ Exhaust tan <br /> Backflow provonler J_ Healpump <br /> � �� Urin�l _ Unii heatcr <br /> prinking Founlain _ 0oilar <br /> ^ Roordre�in RefAgeroNon <br /> Groasetrap _ Woodstove <br /> Roof d�ains _ Olher _ <br /> I Olhar — <br /> CITY OF EVERETT LOCAI.SALES 7AXCO�E IS 9105 <br /> I hereby cerUfy lhat I have reed and e�min�tl Ihls appllcetlon and knaw Uie same lo be true and corroct. All provisions oi laws and <br /> ordinances poveming lhis rypa of work will be complied wilh vfiethe�specllied herain ornot.The granting ot a portnit does not ptosume <br /> � to give authorily lo violata or cancel the provision ot any qthiu stato or loeel Iow regulating constacUon or U-�e peRormenco of <br /> confltruction.That I em authorizxd bY lhe ownOr of thiR Froperty to pedorm tho work far whlch application Is made and I comply wlth Iho <br /> Statn ConUactors Law 7827 RCW and 296200 WAC. <br /> \ 1 �I � � <br /> Signewre of O�.+meN onlroctor/Authod tl Age t ete <br />