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AUG-31-2010 00:23 FROM:KENNETH ACKERMAN PHD 3605687651 70:4252578857 P.2'2 <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CSDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810— FAX 425-257-8857—www.everettwa.org /l <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM _31 1 <br /> SI .AID ESS �- G PARCEL TAX I.0.0 PERMIT <br /> f I f� ool �� 0000 �( 0 1 (� I — -CQ'3 <br /> LEGA LOT NO. BLOCK TRAITORS 11 DDIVIS N a <br /> DESC. 06(o () ,034 n.i-r r-IC 2�J <br /> NER CITY111P <br /> AD 8 <br /> �l 'ld�T I} R . RckE�r 61q Jf'KJ1 jE <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> snr1.` au�Lz I <br /> � ����.012- <br /> EraAIL1 a �f cwr <br /> cA aLICENSE* 6.To��r;L{��ISy <br /> _ ( 1- To ?1 � U u <br /> U�B/nE�OF BUILDING MEAT SOURCE CONTRACT PRICE OF WORK <br /> Y`'_X jr I I'll`�`— I _Electric —Gas her � �j W <br /> WORK DESCRIPTION <br /> P UM INO MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM h0. TYPE OF FIXTURE OR ITEM <br /> _ Toilet AIC-air handling units <br /> Bathtub Forced air systems <br /> Lavatory(wash basin) Gas piping <br /> _ Shower Water heater <br /> Kitchen sink 8 disposal Gas fireplace <br /> -- Dishwasher Gas range <br /> _ Clothes washer Clothes dryer <br /> _ Water heater Range hood <br /> _ Sink(servioolbadmop/etc.) Exhaust fen <br /> _ Back6owprewriter Heat pump <br /> Unnal Unit heater <br /> Dnnkfng Fountain Boiler <br /> Floor drain Refrigeration <br /> -- Grease trap V Woodstove <br /> _ Ruoldralns Other <br /> Cther <br /> CITY OF EVERETT LOCAL SALES TAX CODE la 3106 <br /> 1 hereby certify that l have read and examined this application and know the same to be true and coned. All provisions of laws and <br /> ordinances governing this type of work will be complied whh whether specified herein or not.The granting of a permit does not presume <br /> to give authority to violate or cancel the provision of any other state or local low regulating construction or the performance of <br /> construct .That I am oulhor"d by the owner of this property to perform the work for which application Is made and I comply with the <br /> State C clors Law 18.27 R and 298.200 WAC. <br /> r <br /> BP 3/ <br /> Ig t re o ntractorAuthorized Agen ate <br />