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Mar 29 2010 10:46RM West Seattle Furnace 206 935-0735 <br />�. <br />� PERMIT APPLICATI4N <br />CITY OF EVERETT PERMIT SERVICES <br />i 3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8610 — FAX 425-257-6857 —xvwv.everettwa.org <br />SITE ADORESS <br />LOT NO. <br />TENANTNANE <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br />S 1 aaRce� <br />_t <br />8LOC1( TRAI:T OR SVBDIVISIOM 1F <br />ADDRESS <br />�.i n � 0�. o_._ <br />ICONTACTFORPERMIT <br />CON' �:ACTOR�7i �L�a,(� �� �UurcGss U� p l 5 � <br />J l <br />CJNTR. LICENSE R g.( „Ly`��p„ q�.�'�Ci � L <br />USE OF �UILDING <br />WORK DESCRIPTtON � 11 <br />NO. I 7YPE OF FIXTURE OR ITEM <br />Tel'et <br />�ai'�tub <br />Lnv.lory (wash Uasin) <br />Sltower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clolhes washer <br />Water heater <br />Sink (serviceitarlmopfelc.J <br />UackBow preventer <br />Unnal <br />Onnking Fountain <br />Ploor drain <br />Grease tmp <br />Roo! dnins <br />Other <br />HEATSOURCE <br />_ Eledric _ Gas _ Other <br />Y1 !-3� L <br />CITY/ZIP PHONE <br />�.:j.l�7:I� <br />� <br />x <br />p.3 <br />� <br />3 G1 <br />O�o ' <br />a�s� <br />� DO <br />CONTRACT PRICE OF WORK <br />'�_ h �O <br />NO. I TYPEOFFlXTUREORITEM <br />A!C — air handling units <br />�orced elrsy;tems <br />Gaa piping <br />Water hoeter <br />Gas tireploce <br />Ges range <br />Clothes tlryar <br />Range hoad <br />[xliaus: fan <br />Heat pump <br />Unit heatcr <br />Boi ler <br />Fefrige�alion <br />Woodstovo <br />Other <br />CITY OF EVERETTLOCAL SALES TAX CODE I$ 3105 <br />I hereCy cert��.fy ihal I havo road and ozaminod Ihis application end krow lhe samo to �be true and cartect. All provis�.ns of laws and <br />ordinances goveming ;hls type ol v,�ork wJl be complied wi'h whether specified herein or not. The granting of a pertnit does ncl presume <br />to gbe aulhonly to �iolate or cancel Uie provision ot any other state or local la�v regulatina consfruction or tho peAortnanco of <br />cons ction. Thal 1 am nuUionzed by tho owner of Uiis property to parform the �+rork for whl;h apphcation �s made and I ccmp;y wilti the � <br />State on;raGors Law 18.27 RC and 296.200 WAC. <br />���v�,� �� 3I � 4 I� ol C� <br />