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May 10 06 01 : 31p Sta�= Mechanical 206-575-7529 p• 2 <br /> t 'i , <br /> r PERMIT APPLICATIOId � <br /> �� <br /> CITY OF EVERETT PERM,IT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857-iwww.everettwa.org ����� - 7 <br /> �J`1 \ � APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM '�j�,�'d pe.r.�•.,F <br /> ld � <br /> S�TE ADDRESS PARCEL 7AX I�.D,# PERMIT# <br /> 2�-"--y us�'r Z�`�` � i C'��'��Z I O ' C10S <br /> LEGAL LOT NO. ELOCK TRACT <br /> DESC. i <br /> �NER A�OftLSS � GIT(21P PHONE <br /> Cllrla ���11 I <br /> TENANT NAME CONTACT FOR PERMIT � PHONE <br /> C'_-[re �. �,�a'�z <br /> CONTRAC70R S�q G A C p Y1 �c q� ADDRESS CIN/ZIP PHOHE y ra G <br /> 6C0Inc�.,o�-.� D� �S 'rvkw, �a �75 75 � <br /> CONTR.LICENSE9f..1 f CMG��ICT �r' I <br /> a�o� <br /> USE OF BUILDING HEAT SOURCE �ONTRACT PRICE UF WORK <br /> /J n� <br /> `- � v.nrr�t � � � c. 1 _Elednc _Gas I Other � � 0U U <br /> — / <br /> WORK DESCRIPTION ` 6 �� <br /> �� Swv�i�s�r� �or �., '�'vre <br /> �f sa ' o� z" �-10.i-'I� P � p ;�y <br /> I <br /> PLUMBING MECHANICAL <br /> NO. 7YP[OF FIXTURE OR ITEM NO. 1YPE OF FIX7URE OR ITEM <br /> Toilet I A/C-airhandlingunits <br /> �atht�b I Porced air syslems <br /> Lavarory(wash basin) I Gas piping <br /> Shower I Water heater <br /> Kitchen sink&dispasal I Gas fi:eplace <br /> Dishwasher I Gasrange <br /> Clothes washer I Clothes dryer <br /> Laundry tray i Range huotl <br /> Sink(service/badmop/etc.) _ Exhaust fan <br /> Backilow preventer _ Heat pump <br /> Unnal Unit heater <br /> Drinking Fountain Boiler <br /> T Floor drain Refric�eration <br /> Grease irap II Woods�ove <br /> Roof drains I pU�er _ <br /> Other i _ <br /> ICIN OF EVERETT LOCAL SALES TAa(COUE IS 7105 I <br /> I hereby ceritify ihat I have read and examined Ihis application and know Ihe same to be Irue anef corteci. All provis�ons ol lav.s and <br /> ordinaces goveming this t e of work vrill be complied with whether spedfied hzmin or not.The granting of a perm0 dces not presume i <br /> to give author0y t � ate or ncel the provision of any other stale or Iocal law regulating conswaion or the pertormance ol <br /> construdion. am auth d2ed by the owner of this property to perform the�n•ork for which application is made:nd I wmpiy with the <br /> State Contr ct s Law 8. � CW and 296200 WAC. <br /> - .�' /G U� <br /> Signatur OwnedCont actor/ANhonzed Agent Uate I <br /> � <br />