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JLL-7-2011 07:32 FROM:C8M HEATING 425-745-1344 70:14252578857 P:4/5 <br /> 1 <br /> - i <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREE EVERETT,WA 98201 <br /> 425-257-8810— FAX 425-25i-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM — <br /> SITE AODRER- PARCEL TAX I.D.s PERMIT s <br /> -isv+ lQ0"1 Si SE 1 I IJ2IM7-45:7 <br /> LOCAL LOT NO. BLOCK TRACT OR SUSDIVISI011/ <br /> b[sc. <br /> OWNER A ESS CITY-71P ONE <br /> ffivi rd VQ; il�on W03 RD0,11 W(Lij 6dmonA3 QZ0 425677, 100 <br /> TENANT NAME �CO_N1T-A1C,T FOR PERMIT PIIONE q?5 7,5-I <br /> l)��{ lbu� � EMAILAUDFILUS <br /> CONTRACTOR v <br /> Cn1 's 1415 i3roc�L.uay Gjme 61 4 ?A+ 4_,5 2� ISO c <br /> CONTR.LICENSEa cm 095RLi <br /> USE OF BUILDINGI _Electric <br /> SOURCE I CONTRACT PRICE OF WORK <br /> ✓Gas_Othar <br /> WORK DESCRIP7tnN <br /> Apr lae) ng a boder <br /> PLUMBING MEC ICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OP FIXTURE OR ITEM <br /> Toilet _- AIC-air handling units <br /> _ Bathtub -_ Forced air Systems <br /> _ Lnvnlory(wash basin) -„_, Gas piping <br /> Shower Water healer <br /> Klluhan sink 8 disposal pas fireplace <br /> Dishwasher _ Gas range <br /> Clothes washar Clothes dryer <br /> Water haste, Range hood <br /> _ Sink SerAcerbarlmoplele.) Exhaust Ian <br /> Bactdlow prevonter Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain Boner <br /> Floor draln Refrigeration <br /> Grease trap Woodstove <br /> Root dralml Other <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS I100 <br /> 1 hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and <br /> ordinsces AovorNng this type of work will be compiled with whether specified herein or not The granting of a permit does not presume. <br /> t0 givo authodly to violate Or cancel the provision of any other stale or local low regulating construction or the performance of. <br /> construction. Thar I ant authorized by tho owner of this property to perform the work for which application IS Made and I comply with the <br /> State Car clors Law IB. R and 298,200 WAC. <br /> � I <br /> gnatw I erV �lorl u lora A ent ate�— <br />