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415-257-1666 CM HEATING 2937 p.m. OS-12-2014 2/5 <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257.8810— FAX 425-257-8857—www.everellwa.org <br /> APPLICATIONS ARE ACCEPTEO FROM 8 AM TO 4 PM <br /> 'SITE ADDRESS PARCEL TAX I.O.p PERMIT N <br /> s� PL Sc,� m I 5 -ozg <br /> I,EGAL LOT NO. BLOCK TRACTORSUSDIVISION0 <br /> DESC. <br /> OWNER ADDRESS CITYIZIP PHONE <br /> JOni eam asabo✓e 425 - 405 5 <br /> TENANT NAME CONTACT FOR PERMIT PHONE4?b Zci-T - - I(_: <br /> IC., <br /> �b E•MAI 'IC17I)iNAuumtsu C`'Clvlllctthf�' •l t`I►1 <br /> cmH�airlgPHONE <br /> Inc, ►t+15Br L�LI eve-re" ggwl I.Wj25(1&b6k ' <br /> CONTRILICEIIV _ 09 5R4' _ <br /> USE OF BUILDING HEAT SOURCE I CONTRACT PRICE OF WORK <br /> Electric _Gas_Other 10 ,gs Ll OCA <br /> WORK DESCRIPp ON , <br /> �11StG 1� hW,t PU , V IA- C� <br /> PLUMBING v MECHANICAL <br /> •NO. TYPE OF FlXTURE Oft ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Tollel AIC-air handling units r• <br /> Bathtub �_ Forced air systems 946 '1V r VL-4 CJ..� <br /> _ Lavatory(wash basin) Gas piping <br /> _ Shower Water healer <br /> _ Kitchen sink 8 disposal Gas Misplace <br /> _ Dishwasher Gas range <br /> Clothes washer Clothes dryer <br /> Water heater Range hood <br /> _ Sink(servlce/bar/mopletc.) Exhaust Ian <br /> _ Backflow provenler = Heat pump <br /> _ Urinal Unit healer <br /> Drinking Fountain sailor <br /> Floordraln —__ Refrigeration <br /> _ Graaso trap Woodstove <br /> _ <br /> Root drains Other <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE Is 3105 <br /> I hereby cerlilly that I have road and examined this application and know the same to be true and correct. All provisions of laws and <br /> ordinaces governing this type of work Will be complled Mlh whether spocified herein or not.The granting of a permit does not presume <br /> 10 give authority to violate or cancel the provision of any other slate or local L:w regulating construction or the performance of <br /> construction.That I am authorized by the owner of this property to perform the work for which application Is made and I comply with the <br /> 'Stale Co hectors Law 18.27 RCW and 266.200 WAC. <br /> ' � I 5 � .12rI !•� <br /> 5 gT natu of LlwnarlGoc <br /> actor/Auth z� Agent Uale <br />