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11/05/2009 11.05 4253354226 RIGHT ON HEATING PAGE 01/02 <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 9B201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM ` S <br />SITE ADDRESS <br />ODD �(aR <br />PARCEL TAX I.D. H <br />o781Sd//aD is /860 <br />PERMIT <br />fill 1/III�/L[GALOTBLOCK <br />t <br />TRACT <br />DF_SC. <br />OWNER <br />C <br />ADDRESS OITYMP PHONE <br />/,,ea_ns;7" #,idesell <br />.K :1` <br />/oo )P4 . (f✓erC17'- 99aa3 <br />TENANT NAME <br />CONTACT FOR PERMIT Po B Ak 758 PHONE <br />/ <br />a� <br />I a?a/3-/3/=r A✓ N� Gaep S7-Pycp1S ?AiCON <br />CTON <br />U ADDRESS CITYlzIp PHONE��S - y3� -- ^Zj <br />J <br />CONTCONTR.LICENSE k- <br />V ! <br />`HEAjTj"S(OURCE <br />USE OF BUILDING <br />CONTRACT PRICE OF WORK <br />!ia!/1 te4�7 Q n� <br />sfo <L ZElectnc —Gas —Other <br />WORK DESCRIPTION <br />0 U <br />P2ojeef <br />=T8 =+ 70-0,7 me_oe-1-1v40_ mod;P1caf;o.s <br />Si15-14,Ifat/ <br />N vI dtot 0 i?f/L'. �SSoCratP� olucfwoe�-'s-I'Pto <br />1 JlYl�e <br />PLUMBING <br />MECHANICAL <br />NO. TYPE <br />OF FIXTURE OR ITEM <br />NO. TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />_� <br />A/C _ air handling units <br />Forced air systems <br />_ <br />Lavatory (wash be- <br />in) <br />Gas piping <br />Shower <br />Water heater <br />Kitchen sink 6 disp <br />sal <br />Gas fireplace <br />Dishwasher <br />�_ <br />Gas range <br />Clothes washer <br />Clothes dryer <br />_ <br />Laundry tray <br />Sink (service/bar/nt <br />p/etc.) <br />Range hood <br />RangeExhauhood <br />t fan <br />W pre�Lnter <br />_ <br />— <br />Heat <br />Heat pump <br />_ <br />Urinal <br />Urinal <br />Drinking Fountain <br />Unit healer <br />Boiler <br />Floor drain <br />trap <br />Roof drains <br />_ <br />RefrigeratorGrease <br />Woodstoye ,L <br />Other Li.%tCI ea_feR <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby o itiy that I have <br />read and exa.nined this application and know the same to be true and Correct. All provisions of laws and <br />ordinaces governing this ty <br />a of work will be Compiled with whether epocified heroin or not. The granting of a permit does not presume <br />to give authority to violate <br />r cancel the provision of any other state or local law regulating construction or the performance of <br />construction. That I am aut <br />lon:od by the owner of this property to perform the work for wnlch application is made and I comply with the <br />State Contractors Law 1S. <br />7 Wand 296.200 WAC. <br />A114tiwneuCcntro <br />for/Aulhon:cd —Agent Date <br />7 <br />