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FROM :Evergreen State Heat 8 Ai� FRX N0. :4252596660 May. 21 2008 10:24F'� PS <br />� <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />320o CEDAR STREET, EVERETT, WA 98201 <br />425•257-8810 — FAX 425-25I•BB57 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />in ic ✓ � � <br />LOT NO. BLOCK <br />� <br />PARCEI, TA7( I.D. N <br />OR SIlB01V1910N • <br />�• �.��� �r'Zs• 339 - ,��03 <br />TENANT NAME I CONTACT FOP GEfiMfT PMONE <br />E�M/UL <br />C` ON�LI��✓8�• S/YE�/ /i►�'1AC ��.ZO �G%�L /�(•1� TO� <br />- - - FO• 9'� ZS� - 3//Y <br />U4G OF BUILDING <br />2�5�G�,7�f9�- <br />WORK DE9CpIWT10N <br />NEAT SOURCE I CONTRACT PRICEOF WOFlK <br />__._ Electric �es _ Other ��pj� � <br />�v�c� G� s�/���, h�tri� .�i�ir,,o, W� /,�i iM2 , G�t r�ii�iraG <br />N0. I TVPE OF FIXTURE OR ITEM <br />Tollet <br />BAlhtub <br />Levatory (wesh busin) <br />Shower <br />Kitchon sink 8 disposnl <br />Dlshwoehor <br />Clothes wesher <br />Walor honter <br />Sink (servioo/bar/mop/otc.) <br />Backllow preventur <br />Urinel <br />Ddnking Founlnin <br />Ffoor drain <br />Grense trap <br />Rool drains <br />Othor _ <br />NO. � TVGE OF PI%TURE Ofl ITEM <br />� <br />NC — alr hendlinp units <br />Forced nir cystems <br />Ges plping <br />Weter healer <br />Gns fireplaco <br />Gasranga <br />Clothe6 dryer <br />RenOo hood <br />E.hausl fnn <br />Hoet pump <br />Unit healar <br />Boiler <br />Refrlperation <br />Woodslove <br />Other - .-- <br />CITY OF FVERETT LOCpL 9ALE8 TAX CODE IS ]705 <br />I horeby cerllliy Ihnf I hovu rcatl and aRaminod lhls nppllcatlon antl krqw lhe samo to be true and corcecL All provislons ol laws ond <br />ordlnuces governinp this lypo ol work will be complied wilh whothur specillod herein or noL The grenling of a parmit does nol presume <br />to plve authonty to vlolato or cnncol the provision ol any oiher siat¢ or local lew ropulatinp construcAon or tha podormanco ol <br />consWClbn�lThnt I nm aulhorizod 6y ihe owner of Ihle property to peAorm the work tor whlch applloatlon Is rnatlo and 1 comply with the <br />Stgic�C�ontrqctors Law 1827 FCW antl 288�20o WAC. <br />n�o ��5_0 32 <br />