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Apr 13 09 0122p WashinQton Water Heaters 4255726781 p.3 <br /> 1 <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.evereltwa.org <br /> APPLCATIONS ARE ACCEPTED FROM 8 AN TO 4 pM <br /> SITE ADDRESnS /� GPARCEL TlJC I.D.# � <br /> ' � 3 (JYOCY I(,(� / I ✓� 0O b OU C PERMIT# <br /> LGGA LOTNO. BLOCK TRqCTORSUUDIVISI0N8 - � <br /> DESC. <br /> OW1dER ADDR[SS C�y�p PH�� <br /> lni �. Phi(I� � �133 g►-��dw��y ���� f'ue�tf 9�2a3 �fzS�Z.�7 9�z5 <br /> TENANT NAlAC- �(,�. CONTAC7 FOR PERMIT PHONE � G'�.C�j�� <br /> �NT ACL H_ � � !1 ' I �U`Re�,nn ��.�l�J,�IT`T'— E-M1u�/OrWGt�l�"�1442 �/Lf/CO ��, <br /> W Q S41!�• q�Y-�7l � I"µ �S dS u�C�� /a P PMO E ��, <br /> CONTA.LICENSE'q • ��G- �� rL � /r��D ��C�ta� I. <br /> LcJ A5H L��9sv o� r�az/le✓u-� (,cla �jB�sv S 976-�58� <br /> USE OF BUlLDING I HEATSOURCE I CONTRACT PRICE OF Y�ORK <br /> l C U I C.w��(�`�', _Elecldc r6as Oiher ���r,^_ <br /> WORK DESCRIPTION <br /> c.C��.-��� c��.f ( �� he �-� <br /> PLUMBING MECHANICAL <br /> NO. TYpE OF Fl%TURE OR ITGM ND. TYPE OF R7(1UFtE OR 7TEM <br /> _ Toilet NC—airhaodinguniLs <br /> _ IIa�hWb _ Porxdairsystr�ns <br /> _ Lavaiory(wasb basiny n <br /> _ Shower . Gas piping <br /> _ Kilclien sink 8 d'isposal = ��aler heater <br /> Distm�aslier � Gas lireplace <br /> _ Clolheswasher _. Gasrange <br /> � Waterheater _ Clothesdryer <br /> _ Sink(service/badmop/Wc.) — Rangc hoocf <br /> _ 6ackllo�v preventer _ Exhaust fan <br /> _ Urinal _ Heat pump <br /> _ Drinking Foun�ain _ Unit healer <br /> Flaordrain _ l3ailer <br /> _ Grease trap � Rdrigeratiort <br /> _ Roof drains _ �Noodstove <br /> _ Oiher _ Olfmr <br /> CITY OF EV EREfT LOCAL SAI.ES iA7C CODE IS 3/05 <br /> t heretry cerifily Ihat 1 havo read and examtned ihis application and know Ihn same to be Wo and carted. All provisions of Iaws arxl <br /> wdinaces poverning this type ot n�ork w11 be compGed wilh whether specil(ed hemin or noL The granting ol a pennit does not presume <br /> lo pive aullodty to violate or canrel Ihe provision o(any oUier slate or lopl law regulating constru�,yion or the pertormance ol <br /> const�ction.That I am authonzed by the o�vner of lhis prppurty lo pedortn the�vork lor which applicaGon is made and I comply wilh ihe <br /> Siafe'Cpn�lra,ct�r�s Law 1tS27 CW apd 296.200 WAC. <br /> l f u�1�;i'w�-- �L'��x� �-/0 G2 <br /> S�gnawre ct O�mer(ContraclaiAuthonzea ngem Dato <br />