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JUIJ-01-2010 10:27 From:BLYTH� To:14252578857 Paee�2'S <br />PERMIT APPLICA►TION <br />CITY OF EVERETT PERMIT SERVICES <br />320D CEDAR STftEET, EVERETT, WA 98201 <br />425-257-F�810 - FFlX 425-257-8857 - vnvw.everettwa_org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />r 2q <br />�Er-n� L T NO. <br />UESG. <br />OWNER <br />:d hD I 1� <br />TENANTNAME <br />1'lumbi ��- v�tt�aii n�- <br />eu¢e x <br />US[ OF 6UILDING <br />pARCEL TAX I.D. # <br />TRACT OR SUDDIVISION A <br />CONTACT FUR P[ftMIT <br />2201 ��Ynbuldt st <br />HEATSOURCE <br />_ El2ctric Yj Gas � Olher <br />`NORK DL=SCRIPTION R�YJI�� ��nc,� �11i7y�000 I'�TU <br />111�� %0'R 1�11UC � � U <br />No. I TYPE OF FIXTURE OR ITEM <br />TOitel <br />�sthlub <br />Lavatory (wash basin) <br />,ihowe� <br />Ki�Chen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Weter heater <br />Sink (service/badmopletc,) <br />BaCkflow prevnnter <br />Urinal <br />Dnnking Founlain <br />�loor drain <br />Grease trap <br />P.ecl drpin: <br />omer <br />PERMIT It <br />6�cllin�ham q�z� <br />��bi� {-I� ��e .euti <br />ia <br />CON7RACT PRICE OF WORK <br />15, 000 <br />e ha�l- wa� �� h�ai�rz, <br />NU. I TYPE OF fl%7UHE OR IT[M <br />A�C — air handling units <br />� Forced air systems <br />Gas piping <br />Water heater <br />Gas (replace <br />GWs range <br />Clo�hes dryer <br />Fsnc�e hood <br />Ealiousl fnn <br />Heat pump <br />Unil heater <br />8odar <br />� Relrigeralion <br />Woodsta�e <br />Other <br />CITY OF EVEftETT LOCAL SALES TAX COOE IS 3f05 <br />� here6y certdy th�t I have re�d snd esamined this applicatien and know Uie same lo he Irue and corract. NI provisions ol laws and <br />ordinances governing ihis type ot work will be compiretl with whe0�er specifiad herein or nol. The granting o( a pe�mil does not presume <br />lo give aulhority to violate or cancel the provision of any other stale or local law re9ulating construction or t�e pertormance o( <br />consWction. That I om authorizetl by the owner of this property to peAorm Ihe work for which application is made antl I comply with Ihe <br />�Inle Contradors La� L,B �2� R,CW nnd 2,96.200 WAC. <br />�1yi�.ra.tn�f��i�inn�ii.L (p/I / I U <br />