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06/03/2008 09:34 4253354226 RIGHT ON HEATING PAGE 02/02 <br /> ' . ( ( <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR S7REET, EVERETT, WA 98201 <br /> 425-257-8810—FAX 425-257-8857—www.evereriwa.org <br /> APPLICATIONS ARE ACCEPtfiD FROM B AM TO 4 PM 6 —O 3"�� <br /> SRC AODRESS PARCEL TAX I.D.t PERM i <br /> �l D �l R II� 0 D �� ' �� <br /> LEO LOTNO. BLOCN TRACT <br /> oesc. �� 2,2 �3 �� !a8 ✓�rctt at • lSl� µtcv;tt, �✓e��tt 9�w1 <br /> OWNER �DRESS dTYfdV PHO <br /> � frr +- Htl�n S�,(n✓ P.O� dox ��2�� <br /> TEN�q NAME GONTACT FOR rEItl11T PHONi <br /> �ouJboy S�Sr� I mar/r C��psan y�S� 335•��07 <br /> l,iJ�f .-�� ul�a✓� <br /> ' CONTRACTOR Rl9ht On NtufinGi ADDRESS �.Q �� 'r� CRYRIP L � PNONE y� �3�,.�� <br /> CONTR.UCENSEiI J �QC� S/z✓C�?S <br /> �.�c-,�-ry,�t9s�cn�I u�a, 9bZ� ' <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> lc��'{�� � _ElecUic ✓Oas_Other � �D�� • � <br /> i <br /> WORKDESCRIPTION/�SM`� 1 �� S P����� S�iub ft�r �icfurL /,(SC . <br /> PLUMBING MECHANICAL <br /> NO. �E OF FU(TURE OR I7EM NO. TYPE OF FIXTURE OR ITEM <br /> T0110t AIC—sir handling units <br /> r, Bathtub � Forced air systems <br /> Lavalory(wesh besln) = Gas piping <br /> Shower Water heater <br /> Kitehen sink&Oisposel _ Ges fireplaee <br /> Olshwasher Gas range <br /> CloMes washer Clottwa dryar <br /> Laundry Vay _ Rarqs hood <br /> —+ Sink(servicelDarlmop/elc.) ______ Exhaustfan <br /> � Backflow preventer He�t pump <br /> Urinal � unit heater <br /> _ D�inking Fountain _ BoilO� <br /> Floor drain _ Retrigeration <br /> J— Grcase trap Woodslove <br /> Roof dralns � ��� <br /> � Other <br /> CITY OF EVERETT LOGAL SALES TAR CODE IS�105 <br /> I hereby ceritiy tAet I have read and exenlinaOlhis app�icaGon and know the seme to be W�and coRact. All provisions of Irws and <br /> ordinaces gov��ning thic type of work will be eomplied with wheU�er cpacifi�harein or not.The graMing of a pertnit doos not preeume <br /> to givo autnority to violate or cancal tl�e provision ol eny other state or loral law regulatln0�nsWctic�or the perfortnenos of <br /> canstruction.71iat I am euthorize y ihe owner of this property to pertorm the work for which applieation is mede antl I comply with 1�a <br /> � State Gontr aars Ww�8.27 R nd 296.200 WAG. <br /> � (o ' -O <br /> S�gn ure o Owner! t cter uMonzaA Agsnt ate <br />