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Dec O6 10 11:14a Washington Weler Heatere 425572678� p.3 <br /> ' � 1 <br /> + PERMIT APPLICATION <br /> CITY OF EVERE7T PERMIT SERVICES 12�7I�b <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810—FAX425-257-8857—uvww.everettwa.orp �yJ�D�Z�'� <br /> APPLICATION8 ARE ACCEPTEO FROM 8 AM TO 4 PM <br /> SITE AODRESS PARCEL TAff I.D.1 PERMITR <br /> ! 3v l,a fnu�ESt#B - o y z�ac z5oa <br /> LC-0A �OTNO• BLOCK 7AACTORBU90NISpN1 <br /> OESC. <br /> OW <br /> _ �U6 ��t 1.3r1U� 1�3�� � ' �'nCf�tcvYL ��j�- 3a�a�3; • - <br /> TENANTNAME p�MACTF IERMIT` pNq� d �� <br /> ��.1(�C(�.l �Lt.11��.IS E-�,�ho�'wa.�ti�f ou� . <br /> W�SN�IUCvTdN Kl#�1-�E�rC-/�' l�'jp Char Gf�9;$— <br /> �°►'�i���s��rr,� 9S� oP �.i[Icuc� l�a. 9�va5 8'SF�B <br /> USE OF BUILDINO fiEAT 80URCE I CONTAACT PqICE OF WORK <br /> J����ct�l�t�c.� �ae����a _o� �� � � F 9u°� <br /> WOAK DESCRIFTION <br /> �2����� ����� /-��ch� c t�a�u� l�cQa� <br /> MBNiO CAL <br /> Tp• TVPE OR Fpf1URE OH ITBA ND. TrPE OF FDCRIRE Op ITEY <br /> _ Tdlot A/C-elrhendlin untls <br /> — B�h� _ Forwd ah systema <br /> _ Levatory(vrash basin) _ Gea pipin <br /> � Kitc�henrslnk8dlsposal — W�rh� <br /> , oienwasnar <br /> Clalhea waehor _ ���°ce <br /> Z Water heater _ Clolhes Oryar <br /> _ Sink(servicerberlmop/etc.) —, Ranpe hood <br /> ,___ Backtlow preventar _ Exhaust fan <br /> _ Urfnal _ Heal P�P <br /> _, Odnkinp Fountain � Unit heater <br /> _ Fbortlreln _ 9otler <br /> _ Gmese trep Refriperatlon <br /> _ Roof drairB — W�s�� <br /> _ �y� _ Other <br /> CITYOFEVEpETT1.00AL6AlFSTAXCOJEIg?1pg ' <br /> I hereby cerftily thel l have reed erd e�m�ned thk appicatfon and hnow Iho emna ro ba Irue ard corteq. Ad proMNone ol lawe and <br /> ardineces povemfnp thLa type of work wili 6e complted with whather specHfeC henin or noL The praMlrp d a permlt doos not pmaums <br /> to glva euthorhy to vWlete ar eenad tha provislon d eny oNer stme a IocW Iaw reguh8np corretru�Noo a�fie peAarm�nG d <br /> con tbn.Thet I am auMarFzad by thn ow�g�W th�Q propeny ro panorm the wark tor wHch pppfbatlm i�made and I compy wi�h�ha <br /> � �c��,az��.��.zoo� �.� <br /> ��L� ¢� —�lC: <br /> o r ntract / ut o z penl � • <br />