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1i-30-'05 10:10 FROM-RelAire HVAC 3607398507 <br />PERMIT APPLICATIOfV <br />CiTY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-BBi 0— FAX 425-257-8857 — www.everettv�a.org <br />T-272 P002/003 F-574 <br />APPLICATION3 ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />DESC. <br />LOT NO. <br />NAME <br />1�'l! IU[JIC1/ <br />COI�1lTRnAC,T/O�R� y� %��,�- <br />,�J�/ Gu-�/ � (.i1-e.�/f I <br />caaTR. LICENSE p n � _ . . <br />f�i <br />TRACT <br />CONTACT FOR PERMIT <br />ho,/soi�, (f�or� <br />ADURE58 CIiYILP <br />ai7a bN��� �limgham, w� <br />�c��—� I — HEAT SOt1RCE <br />Electric _ Gas _ Othar <br />WORK DESCRIPTION <br />�ElAGa�� d�Fi-vfa`Od pS /-oC'�-lSS�P�y <br />N0. � TYVE OF fIXTURE OR ITEM <br />TOilet <br />Bethtub <br />lavatory (waeh basin) <br />Shower <br />Kitcnen sfnk 8 disposal <br />Dishwasher <br />Clolhes W3sher <br />Laundry trey <br />Sink (servicelbadmop/ete.) <br />BackAow preventer <br />urinal <br />Orinking Fountein <br />Floor drain <br />Greasa vep <br />RaoF drains <br />Olhar <br />NO. <br />PERMIT M <br />PHONE <br />CONTRACT PRICE OF WORK <br />(lj d r C�� ,.� <br />�rr <br />MECHANICAL <br />NPE OF FIXTURE OR ITEM <br />A/C - nir hondling unils <br />Forczd alr systems <br />Gae p�ping <br />Water henter <br />Gac fireplace <br />Gasrange <br />Clol�es drycr <br />Ranpe hxd <br />Exhaustfan <br />Heat pump <br />Unil hgate� <br />Boilor <br />Re(dgeration <br />Woodstove <br />Olher <br />CITV OF EVERETT LOCAL SALES SAX CODE IS ]105 <br />I hereby csriliy that I hava read and examined this appliwtion and know the aame lo be Irue and :orrect. All provisions of laws and <br />ordinaces governing this rype of work will be complied whh whelher specified herein or not The grentlng of a permit aoes not presume <br />to grve aulhority lo vlolate or cancel lhe provislon ot any othar slata or local law regulating coneuuc;ton or the pariormanca of <br />consVuction. Thet I am eulhorized by the owner of this Droperty to pertorm the work far whlch aDPlication is matle and I wmpiy with the <br />S,(�i �_ Conlractora W 27 RCW and 296.200 WAC. <br />1_ 1� �.�-C�l�--- I 1 I10 IOJ'" <br />