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OC/26/2013 03 52 <br />517E A�DRESS <br />l� <br />LEGA LOT NO. <br />DESC. <br />�wri <br />7ENANTNAME <br />P�r2MI���L.�G.�1,�'IO�N <br />CITY OF EVE;FtE7T RERMI-T S�RVICES <br />3200 CEDAR S�REET, EV�REI'f, WA 982D1 <br />425-257-$810 - FNC 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTEDFROM 8 AM .T.O A PM <br />PARCEI. TAiC l,p. iF <br />g{.pCK � TRACTORSUBOMSIONY <br />/SzG� .�mn, <br />02758 P.001/001 <br />6-a�-�3 <br />Sr�o�Gm �� rG 30 <br />� <br />� � � I � EfilA1L <br />CO T C OR ADpRESS �-- i IP � PHONE <br />,��/,,,�.�. .$'�/�� �5�� 3so/ ����.1��.� �y� �v�-z/6/ <br />CONTR.LICENSEN_�,., .,,__ ._ _ ,. rr: TT.�wva � <br />USE OF BUILOING <br />�P � <br />WORK DESCRIPTION <br />HEATSOURCE <br />� Electric. � Gas _ Othor <br />/���� �r� �� � <br />N�. � TYPE OF FIXTURE OR ITEM <br />7oilot <br />Bath�ub <br />Lav2tory (wash basin) <br />Shower <br />Kitchen sinY. & disEmsal <br />Dishwashar <br />Clolhas washer <br />Water heater <br />Sink (ServiCa/bar/moprolc.) <br />�atkflow prevenlnr <br />Urinal <br />�rinking Fountain <br />Floor draln <br />Greasa trap <br />Roof drains <br />Othor <br />NO. <br />CONTRACT PRICE OF WORK <br />TYPEpF FU(TURE.oR ITEM <br />A/C — air handling units <br />forcod air systems <br />Gas piping <br />W3�0( �CpICf <br />Gas fifoplaee <br />Gas range <br />Clolhes dryer <br />Range hood <br />ExhaUslfan <br />Hoat pump <br />Unit heate� <br />Boiler <br />Rafriyeretion <br />Woodstove <br />Othor <br />CITY OF EVERETT 40CAL SALES TAX COpE IS 3105 � <br />I horoby ceriUfy Uiat I havo read and examinod :hie app�IcaUon and know the same lo bo true and correct. All provlslons of laws and <br />ordlnates govorning this typa of work will ho compllod wilh whethotspociflod herein or not. The grenting of a pertnit doos not presuma <br />lo givo authodty to violate or cancol tho provlsion of any other slato or locnl law regulatinp constructlon or iho performanco ot <br />consvucUon. That I am authorizod by lhe ow�er of Nis property to peilomt the work for which applicaGon is made and I comply with lhe <br />Statd CoFtrdctors Law 10. ?R�.W_ and 290.200 WAC. <br />: ��/,/. ��� - � � ��� f� <br />�� <br />