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SEP-14-2010 12:58 FROM:C&M HERTING 425-745-1344 T0:14252578657 P:2�3 <br /> � l <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, 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 /> SRE ADDRESS PARCEL TA%I.D.7i PERMIT q <br /> 832z$o�0o � �l J-�� <br /> LEGA LOT N0. BLOCK 7AAC70R SUYDIVISION A <br /> OESC. <br /> OWNER ADDRE55 C li' PMONE <br /> M+s �sso� �.+-� ��3► E rna��r� v�ew Dr 6f.9szo� 4253z8 s� <br /> TENANT NAME I CONTACT FOR PEAMIT PMONE <br /> p ` 2 E-MAIL <br /> CI���� I n�. ��-''�� pIJRE��IQww�.� GV�eC11 Y'1 1 425 Z�1 6�66 <br /> NFa}� <br /> CONTR.IICENSE M � <br /> crn l-�t-��C95 R�{- <br /> USE OF BUILDING — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> Electric �Gas_Other aaoo .o 0 <br /> WOPK DESCFi1PTION ' � <br /> Ins{ull (�AS ��SeY''f" � gA5 i_-ic�e, 10 `re�14c-�. <br /> PLUMBING ECHANICA <br /> NO. TYPE OF FlXTIIRE OH fTEh1 N0. TYPE OF FlXTURE OR 1TEM <br /> _ Tollet ,_,__, A/C-air handling units <br /> Bathwb _ Forcedairsystems <br /> � Lavalory(wash basln) _L Gas pipinA <br /> _ Show�er Water heater <br /> Kilchenslrk&dispo;al � Gaslireplace (jn$�'�"�'� <br /> � OishwashBr Gas range <br /> � Clothcs washer ._ Clolhes dryer <br /> _ Wa;er hea�er Range hood <br /> Sink(service/bar/mop/etc.) _ Exhaust tan <br /> _ 8�ck9ow preventer Heat punvp <br /> _ Udnal _ Unit heater <br /> Orinkinp Fountaln __ Boiler <br /> _ Floor drain _ R?fripera�ion <br /> Grease trao Wootlsrov;+ <br /> _ Root drains Other <br /> ^ Otner_,. . _. — <br /> CITV OF EVERETT LOCAL S4LES T4X CODE IS 310.5 <br /> I hcreby CCr1t1(y iha[I have re>d and examined this appiication and know the same to be true an�Corced. All provisions of laws and <br /> oMlnaces qoverning th�s type ot�•:ork wili be complied�vith vrhether specHied herQin or not Tho granting of a permit does nol presume <br /> to give awhority to vioiate or cancel the provision of any olher state or Iocal law repulaiing constmction or the pertormance ot <br /> conslrucilon, Tliat I am authorized by the oN�ner o(this property to perform the work fo�whieh application is made dnd I comply wlth Ihe <br /> Statc CoNreClors La�v 18.27 RC4V and 29f. 200 LYAC. <br /> .Q.E}E?l..0 C' � '��'• I� <br /> Ipnat�r ot Oti+�nenContra r/�uthorizetl Age i� Date <br />