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Mar 07 2012 9: 34flM West Seattle Furnace 206 935-0735 P• 2 <br /> i <br /> PERMIT APPLICATIOIV <br /> CITY OF EVERETT PERMIT SERVICES <br /> 32U0 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8610—FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM S AM TO 4 PM 3 �.7���i <br /> �ADDRESS PARCE�TAX I.D.* PERMIT f �� ^ <br /> � OLOT N4. C� BL C� TRACT OR SUBDIVIBION• (_� <br /> pESC. <br /> OWNQR AOURESS CITYlZ1P PMONE <br /> ��.,� -�--` .�''f��UA' SO�I ��_.�--- o?` Olo� ?�°..Sq • �I � � <br /> TENANTNAYE I ` C�O�NTACT FOR PERNIT PHONE D�y �l��j ��O <br /> JA.i fYli t c� �tM.Iv+--�'l e�na�..Y�:+YY�+ i..�Uf <br /> i.rw�a,,,-� _ - r� R �e c i p L � �a�-F4� �D�o c��4 8 ��10 c <br /> CON1R.LICENBE A C��,�� <br /> Bc�.r.,r.��q�-1 �.-� <br /> USE OF BUILDING HEAT SOURCE I CONTRACT PRICE OF WORK <br /> c,� � _Eledrfc �vas_Other `.�Q� <br /> �J <br /> yIQRK� SCRIPTION �� �� �f' � <br /> ;�-'� -� �\� �l qQ� �'va=�- <br /> L� \��� L:� \� <br /> PLUMBlNO MECHAiJ!CAL <br /> N0. TYPE OF FIXTURE OR ITEM NO. TVPE OF FI%7URE Oit ITEM <br /> Toilet _ aC—airhandlinguni?s <br /> Bathtub _ Forced air syst�ms <br /> Lavatory(wash besin) Gas piping <br /> Shower ,1_ Water heafer <br /> Kllchen eink&disposal _ Gas fireplace <br /> Dishwasher Gas rsnge <br /> CloMea washer _ Clothas dryer <br /> Water hearor Renge hood <br /> Sink(servicelbarlmople�J _ E#�eustfan <br /> i Backflowpreventar _ Heatpump <br /> _ Urinal _ Unit heater <br /> Drinking Founta(n _ Doiler <br /> Floordrain _ Rahigeratian <br /> Grease traN Woodstove <br /> � Roof dreins ^ ��e� <br /> _ Other <br /> CITY OF EVERETT LOCAL 9ALES TN(CODE IS 3f06 <br /> I hefeby certify that I have read and examinetl this a!�plicatlon end know lhe seme to bo t�ue and correct. All provisions of laws and <br /> ordinancea govaming 1hls type of work will be complied v�ith wnether specified hereln or not The grandng of a pertnit does not presume <br /> to give authority to violate or cancel the prov(slon ot any other state or local law reAuiaGng construction or the performance of <br /> cotut ction.That I am authoriz d by lha vwner o(this property to perfurm Ihe work for whlch applicaUm is made and I xm py with the <br /> $4ate ,onVactors Law 18,27 end 2 .ss 2a0 WAC. <br /> / ' <br /> r t � � <br /> i <br /> a re o` wner/Contract d orized Agent Dete <br />