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<br />PERMIT APPLICATfON
<br />BUILDING 1 MECHANICAL / PLUMBING / SIGN I SPRINKLER / DEMOLITION
<br />CITY OF EVERETT PERMI i SERVICES
<br />3200 CEDAR STREET, EVERETT, WA 38201
<br />(F) �+26-257-8810 � FAX 425-257-8857 �,E) everettAps@everettwa.gov ( www.everettwa.govlpermiks
<br />i�1�t����T Sf"f"� ilV�+DRM�i'1'ICtPi
<br />O,�ECi SITE ADD�tESS, � 504 Rucker Ave �"�aPERTY TAX #: 0058396
<br />aAL for new tonstrucGon�. Shcrt Platisubdiv aii�ri _ , _ _.Lot No._ (ailach cupy et fony legal aesc��pP�ori)
<br />BUI�»ii1N+G P�RNIt'T' AP"PLtCA'1`10�1
<br />Er,istinca Use�of Buildin ��: Contract Price of Work: $$1,200
<br />Pro osed Use of Buildinq: Heat Source: �Gas ❑Electric ❑Other
<br />i3��ildin�i 7" .ae: ❑SFR-Qetach�:d ❑SFR-Attached ❑C?tE��i�x ❑Multi-Famil `-# of Ur�lts � _ ❑Commercial ❑Industrial
<br />°d`y�ar of Prra�c&: ❑New DAddition ❑Remodel ❑Rep�ar ❑T.I. 05��7n C�S(�rinkler ❑Demolition Of;h�nc�� of Use
<br />DESCRIPTION OF WORK:
<br />Replace gas water heater located in basement
<br />(ASSOCIATED BUILDING PERMIT # {iF �E�plicable}: �
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