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FR01d CARDINAL HEATING <br />(TUE)JUL 8 2008 8:23/ST. 8:21/No.6660104603 P 2 <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 />SITE ADDRESS <br />PARCEL TA:: I.D. a <br />1 <br />PERMIT 1 <br />1 -(Jul <br />-�Lcr=kL 4,, <br />C1o2)0'� <br />UCGA0 LOT NO. U <br />BLOCK <br />TRACT OR SUBDIVISION* <br />DESC, <br />OWNER GITT2IP. PHONE <br />I� !� 1 • ` W <br />1 oP <br />Qqr U9✓�1 G� 3(OOy% IL6Z�uxr �� a/� r hiC� L UOAr.- iuE 20 1 <br />TENANT NAM ONTACT FOR PERMIT PHONE , 8� _9 9 q -7 <br />1 <br />r <br />Rd I Ao-1 h9++CONTRACTOR <br />E-MAIL P! 1 <br />Ca�-Q t{ea-�j logic JrIA PI <br />CONTR, LICENSE a^� <br />USE OF BUILDING <br />HEAT SOURCE L <br />CONTRACT PRICE OF WORK <br />r�cJ2 I <br />—Electric �Gas_Othe <br />I ''+`$,�� <br />WORK DESCRIPTION ���ppp 1 <br />✓„� ems+,, I7t -&P' 1 <br />PLUaMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />N0. TYPE OF FIXTURE OR ITEM <br />Tollet <br />A/C - air handing units <br />_ <br />Bathtub <br />Forced air systems <br />Gas <br />Lavatory (wash basin) <br />piping <br />_ <br />Shower <br />Water healer <br />_ <br />Kitchen sink 8 disposal <br />Gas fireplace <br />_ <br />Dishwasher <br />�_ <br />Gas range <br />_ <br />Clothes washer <br />Clothes dryer <br />Waler heater <br />Range hood <br />Sink (servica/bar/mopretc.) <br />Exhaust fan <br />Backflow prevonter <br />Heatpunp <br />Urinal <br />Unit heater <br />J_ <br />Drinking Fountain <br />Boiler <br />Floordrain <br />Cafrgeration <br />_ <br />Grease trap <br />Woodstove <br />_ <br />Roof drains <br />Other <br />Other <br />I <br />— <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 7105 <br />1 heroby eodtify, that I have read and examined this application and know the same to be true and correct. All provisions of laws and <br />ontinaces governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume <br />to give authority to Aolate or cancel the provision of any other state or local law regulating constructon or the performance of <br />construction. 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 Contilictore Law 16.27 RCW and 296.200 WAC. <br />-1 <br />i.- - 8 - Y <br />Signat(ire er/ ontractor/Auth nz gent Date <br />no <br />(am <br />