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MAY-27-2010 12:D2 FROM:C8M HEATING 425-745-1344 <br />TO:1425257BB57 P:2'3 <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.evere.ttwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS PARCELTAX <br />D <br />PERMIT00g3 gs <br />ILEGAL LOTNO.33401,)900 I+ rICC5BLK TRACTORSVDDIVISiONS ADD -SS O'TY72M` PHONE <br />El (LVI l�agc�et i-lrl i ({cDougc�11 EJEX� ' ``S201 425 259 q1; <br />TENANT NAME CONTACT FODIPERMIT PI10NF C <br />;N .. 475 z59 GaG G(o <br />-MITITIALT017— 71T7D �3u�--�Lt.0 ZRSrr P E•MZI�----�7i10T7E <br />CM!k=Ghv�t�lnL IL415 i3roct�uaaL) �verE1�-9"a201 4�25 ZSq (c b <br />AIL <br />CONTA. LICENS�A <br />E1yr4_ <br />MEAT -* <br />OF DUILDING HUT SOURCE CONTRACT PENCE OF WORK <br />Electric Gas Other <br />WORK DESCRIPTION <br />Ron TLs' �A n5a qa 0 s Cu rrlac--C-- <br />NO. I TYPE OF FXIURE or; RLtA <br />wnet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />_ Kltohen sink S disposal <br />Dishwasher <br />ClciLes washer <br />Water heater <br />Sink (sen4ce/bar/mop;elc.) <br />_Unci prOventer <br />Urinal <br />Drinking Fountain <br />_ Floor dralh <br />_ Grease trap <br />Roof drains <br />=I Other <br />NO. I TYPE OF FIXTURE OR ITEM <br />A'C - air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryor <br />Range hood <br />Exhaust fan <br />Heat pump <br />Unit heater <br />Boiler <br />Rsfrlgeration <br />Woedstove <br />Clhcr <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I horeby ccdtlty that I have lead and examined this application and know the same to be trio and cot (Oct. All provisions of laws and <br />crdlnacos governing this typo of work W11 be complied with whether specified herein or not. The granting of a permA deer not presume <br />to plve authority to violate or cancel the Provision of anv other state or local law regulating construction or the performance of <br />oonStruCtion. That I am authorized by the owner of this property to perform the work for which application is made and I comply with the <br />State Contractors Law 16.'1 CW and 296.2010 WAC. <br />i I0 <br />Slgnat re at Uwneti COtliradtor Authori.-Id n -� <br />