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SEP-8-2010 07:59 FROM:C&M HEATING 425-745-1344 T0:14252578857 P:2'3 <br /> � ( — —� — — � — <br /> PERMIT APpLICATION <br /> CITY OF EVERE7T PERMIT SERVICES <br /> 3200 CEDAR STREE7, EVERETT,WA 98201 <br /> 425-257-8810—FAX 425-257•8857—H.vw.everettwa.orp <br /> APPLICATIONS ARE ACCEF�TED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.N PERMIT N <br /> � GI1UI'S'�' �IQ. ' SOS- O 00 (�'1 � v(>�i � CI�I <br /> IEGA LOTNO. BLOCK TRAC70RSUBDMSIONR <br /> OESC. <br /> OWN q A HESS GIiY V N <br /> �N'l E n L►vin �'r���3U Seah rf ft�e. Ev.98?1�3 �25'�IB q8�i5� <br /> ICONTACTfORPERMIT PHONF <br /> E�1A1� <br /> CmF,12a. nqlnc 1�15 �reac�;,vo�.� Ev.�fg20i �ZS•z59 fa�orol� <br /> CONTR.UCEN��► �_� Q���� <br /> un <br /> USE OF BUILDING I HEAT SOLRCE CONTR.,.;7 PRICE OF wORK <br /> _e���i� �cas oma� foT33 � <br /> WORK OESCRIPTION <br /> Run qc�s �ieinq �a -�vrr��cu 41- �+Zo . Iv�S}z��l �'urvtac_e, <br /> �r �}2c� <br /> LUMBING C ICA <br /> NO. TYPE OF FlXTIRE OR RE1A NO. TYPE OF flIfTURE OR�tEM <br /> � Batlhtub aC-airhandlinpunil <br /> Lavato � ForceOaircystems ��-ytafs _ <br /> _ ry(wash basin) Gas piping <br /> _ Shon�er __�__ Water heater <br /> � Kltchen sink 8 disposai _ Gas flreplace <br /> _ Dishwaslier _ Gas range <br /> Clothes washer ` Clothes dry¢r <br /> _ Waterheater _ Rangehood <br /> _ Sink(sorvice/baUmop�etc.) ` Exhaust fan <br /> _ BacMlowprevanter Heatpump <br /> _ Urinal ^ UNt heatcr <br /> _ Orinking Fountain _ eoiler <br /> Floor drain <br /> _ Groase trap _ Refrlgeration <br /> Roof drsins � Woaactove <br /> � Olhcr _ Other <br /> � � <br /> CITY OF[V[RET?LOCq�gALES TAX CODE IS 3105 <br /> I hercby ccrltlry Iha1 I have read and examined fhis application anA know tho same lo be true and correct. All provislon�d iaws anC <br /> ordlnacvs Qoveminp Ihis rype ot work Hdn pe eomplie0 with whether specified herein or am. The grantlnp oi a permit does not presuma <br /> lo gwo euthoAry ro vioiate or cancel the provision o1 any other state or tocal law ragulating construclion or the pertormance oi <br /> conetructlon.7hat I am authonzetl by the owner of this property ta peAorm the work for which applicat�on Is made and I cromp!y with the <br /> Slaic Contr ors Lax• 1827 R nd 28B.20D WqC. <br /> . <br /> � QA.l.Q�1J�� � �j•�� <br /> Sipnaturr,ol vner.�Coniractorp horized A nt Date <br /> (_.- <br /> � <br />