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FROI� :Evergreen State Heat & R;� FRX IJO. :4252596660 { Aug. 24 2010 02:46PM P1 <br />� <br />.� <br />C <br />� <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />�� 320Q CEDAR STREET, EVERETT, WA 98201 <br />i 425-257-E1B10 — FAX 425-257-8857 — www.everettwa.org <br />g3 ��l D �� <br />L6GAL LOTNO. <br />DESC. <br />WNER <br />�e��9 ��zs4� <br />TENINTN�ME <br />��x�r�o O.S � <br />i A R ,( f�1pS <br />CONTR. LICEN9E M <br />e,ve �-� <br />USE OF BUILDING <br />�o �-•�� �--.� <br />WORKDE9CRI T�ON <br />�.1.C.:-i-�S S <br />APPLICATIONS ARE ACCEPTED FROM e AM TO 4 PM `7? � 3-� �ID <br />:�� !� � PARCEL iAX I.D. K <br />BLOCK 1RACTORSUBDINYION/ <br />A Sb6TtF 3 - <br />, �a� �33�o u1 <br />I CUNTACT FOR PERMR <br />HEATSOURCE <br />� Electric � Gas _ Olher <br />�g.,'� �x'ia�s�.,.L <br />NO. I TYPE OF FI%TURE OR REM <br />Tollet <br />f3athluh <br />Lavatory (wash basin) <br />Showor <br />Kitchon sink 8 dlsposal <br />Dishwasher <br />Clothos washer <br />Wnter hea!er <br />Si�k (sorvice/bar/mop/utc.) <br />�ar,k0ow preventCf <br />Urinel <br />Drinking Founl2in <br />Floor drain <br />Groaso irap <br />Ror( dralns <br />Other <br />PERMIT M <br />VHONE <br />y�5-a5a- 3��� <br />�i�r.�� ��q �s au� <br />CWfICC OF WORK <br />i�C , <br />� � <br />N0. I TYPE OF FIXTURE OR 17PM <br />A/C —air hendllnp units <br />Forted air systoms <br />Gas piping <br />Water heater <br />Gas fireplaco <br />Gas renge <br />Clothos tlryer <br />Range hood <br />Exhaust lan <br />Heat pump <br />Unit heater <br />k3oiler <br />Rotrigeration <br />WWd6lOV0 <br />CI7 Y OF LVER[1T LOCAL SALES 7A1C CODE 19 ]105 <br />I horeby certiry Ihat I havo read and exnmined this applicetion end know the samo to be true and corcect. All provisions of taws end <br />ordinances governing lhis typo of work witl be canplied with wfielher speatied hereln oi not. The granting of e permil does nol presume <br />m glve aulhoriry to violalo or cancel iho provi:;ion of any other state or local law regulAting construction or Ihe performance of <br />construetlon. That I am authorized by the owner of ihis propetly to poAorm tne work fer whicM applicalion is mxde anA I comply wlth the <br />S Ie ontraclors Low 18.27 RCVJ and 2�J6.200 WAC. <br />� � s-ay-�� <br />Slg�awre o wnor ontr tor ut ionze gent Uate <br />