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0611012010 09:30 BEL-RED HEATING 8 AIR COND. (FAX)4254935354 P.0011002 <br /> i <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETI', WA 98201 <br /> 425-257-8810— FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM (� �/D —/(7 <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> �16z��.���a„c� �E Zqu435c70ho33Cx� I Y11�uu � -o��O <br /> LEGAL LOr un BLOCK TRACT OR SL1801VISION# <br /> DESG g' I�jEC.CC�LI�it NO �'-TN- <br /> OWNER ADORESS CITY2IP PHONE <br /> �',hoU�,1.�5 �G�c,H-ru�+�1 /loZ� Et�ll�l�nc� �1J� �1820� �25.3q8• �35� <br /> TENANT NAME I CONTACT FOR PERMIT PHONE �I� �L�3 ��5j <br /> �L �'lL� E•MAIL,�u��r�igQ�rC�.C.C)YVI <br /> CONTRAC ORn� n! �I.�.IC,) s. ,ti{� D S � NE <br /> f�Gli1�.G�/ HC 1� -1 ^I Iu�33� 4�n'P�-u) M0.�i.�aLO �lgz�5 �}-2� `('y35353 <br /> CONTR.LICENSE# pJ✓ ��� IOIb�. <br /> 1' Gli <br /> USE OF BUILDING I — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> I�LS I bET.�TI� Eleciric ,LGas_Olher 5��� <br /> WORKDESCRIPTION �\�� �� ��m�� � �`� .+�, �� <br /> t�,0 ,o7t7 � 1`�w�.t_ X�) `Z S <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR REM NO. I TYPE OF FIXTUR[OF I7EA1 <br /> _ Toilet A/C—airhandlingunfls <br /> _ Bathlub � Farcedairsyslems <br /> _ Lavatory(wash basin) _ Gas plping <br /> Shower Water heater <br /> _ Kilchen sink 8 disposal Gas fireplaco <br /> _ Dislnvasher _ Gas ranga <br /> _ Clolhes washer Clothes dryer <br /> _ Wa�er heater _ Range hood <br /> _ Slnk (sorviceibar/mopletc.) Exhaust fan <br /> Back(low prevenler Heal pump <br /> _ Urfnal ^ Unit heater <br /> Drinking Fountain Boiler <br /> _ Floordraln _ Relrigeration <br /> _ Groase trap Woodslove <br /> Roof drains Other <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I horeby coritify that I have read and examined thls applicallon and know the sama lo be iruo and correct. All provisions ot lav+s and <br /> ordinaces goveming this type ol�vork will he complled wilh whe�her specilied herein or noL The granting ol a permit does not presume <br /> l0 9ive authoriry ta violala or ca9cel tha provision ol any olher slale or tocal law regulating consiruclion or the perlormance ol <br /> consiruction.That I am aulhc i£ed by tho ownor ol this proporty to partor the work for which application Is made and I comply with Iho <br /> Slai �,.clors Law 18. RCW and 296.200 WAC. <br /> C�O �1�2J�0 <br /> Sj ure ot Owner/Contractor/Author zo Agent Dale <br />