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FROM :E�ergreen State Heat & A/C /�RX N0. :42525%660 09` 21 2010 09:56RM P1 <br />l < <br />SITE ADDRE33 <br />53 C� <br />LEG� LOTNO. <br />DESC. <br />O NER � <br />TENAI 1 C,. <br />l� ,� <br />�a��-'�. <br />GONTR. L10EN8E N <br />VQ�iqSi I <br />USE OF BUILDINI <br />PEF�MIT APPLICATION <br />:ITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR S7REET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. �1 <br />, �ve <br />BLOCK TRACTORSUBDMSIONf <br />ADPRE CITY2IP <br />��,� 1a53 b ��rm,.� �e _ �ti <br />� �CONTACT FOR PERMR � <br />c��. � <br />�..—�c �-� <br />,'� �t.(� 1 a.1 � �0.ci �i � �/2 �/�I P 1ti' <br />I • NEATSOURCE I <br />% � EleGric _ Gas _ Olher � <br />n r � <br />WOI.'C DE8CRIPTION <br />\ u�.�.ti� 'C� 1 <br />NO. I TYPE OF FIXTURE OR 11EM <br />Toilet <br />B�thtub <br />Lavatory (wash basin) <br />r Shower <br />Kltchen sink & Aisposal <br />Dishviesher <br />Clothes washsr <br />Water heafer <br />Sink (servicelbarlmoplelc.) <br />Backflow preventer <br />Udnal <br />DAnkinp Fountaln <br />Floor drain <br />Greaso trap <br />Roof drelns <br />other_ . <br />/b - a a-f a <br />PERMIT * <br />n,n�o-n��� <br />a5 a 3»y <br />� �`d�u� <br />CONTRACT PRICE OF WORK <br />;i � _ a �� <br />NO. I TYPE OF FIXTURE OR ITEM <br />AIC — alr hundling units <br />Forced air systems <br />Cias piping <br />Water heater <br />Ges tireplacn <br />Gas renqe <br />Clothes dryer <br />Ranpe h^�id <br />Exhaustier, <br />Heat pump <br />UnR heater <br />Boller <br />Refrigaration <br />Woadstove <br />CITY OF EVERETT LOCAL SALES 7�X CODE 18 �105 <br />I hereby certify thal 1 have resd and exemined lhis application and know the samr to be true 2nd cortect. All provisions of laws end <br />ordinances goveming this type of work wlll be complled with vfiether specified hereln or not. The grantinp ef a parmit doos not presume <br />to g(ve authorlty to violale nr cancel the provlslon of eny other state or local law rog�lating construdion or lhe perfortnance of <br />constniclion. That I mm �ulhor¢ed by the owner af lhis prooeRy to pedomi Ute work for which application Is mado and I comply �Nlh the <br />SI te Contractorx Law 1a.27 RCW and 290.200 WAC. <br />�/� 0 1. �I\ _'l 1-1 i 1 <br />