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May 02 10 01'26p Washington Water Heaters 4255726781 p2 <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CED/1R STREET, EVERETT, WA 98201 <br /> I • 425-257-8810–FAX 425-257-8857–�_everethya.org <br /> APPLICATIONS ARE ACCEPiED FROM 0 AM TO 4 pM <br /> I SIiEADDRESS <br /> 7� Z- , C�.� (� / PARCEL TAX 1.0.N <br /> '� �J� Lt/i�f" 7 70 5�Z f��;p Io y�oO I PERUITA <br /> LEGA LOTNO. ��� 1 NA ID��- O�/- <br /> I DESG. THACTOR SUBDIVIS�pN N � ��� lC� <br /> ' OWNEH <br /> �'-� � �t� N�t��z Z�u c�sh���� i- �1��� fc���� zaiH� �`�� ,` <br /> TENANTNAME ONTACTF RPEHI�T� ✓ — V <br /> -T7� I�QcL-1, � D PHONE QQ� 7 � S. <br /> ` C G�� U . S �ZI L�S E-MN41����ITLL� Q`J <br /> W� Nv � N Iv�TE2.YfEr4rr� I�o c�a� s � <br /> �orm�.u�ccrrse �,q �im <br /> USE OF BUILDING <br /> ° �l�vuc l,Ua- 9�tia5 ��8 <br /> HEAT SOUqCE Cp,,��//RACT pfilCE OF WORi( <br /> �S1Cli��.11��- i �E'Icch� �C;as_Olhor ��- �/V <br /> WORN DESCRIpT10N � <br /> � C'-���r,�,�.��� G��- 1 �,�.�C,fv�� �vc�.r-er� �� ct-�i <br /> PLl1M8—jNp" <br /> �' TYPE OFF7XTURE Op ITEM MECHANICA� <br /> _ Toilet NO. n'PE OF Fl7(TUHE Op�/,� <br /> __ �ntlitub _ A/C—oirhantll(ngunils <br /> — �o'�+�ary(wash basinJ _ Forced air syslems <br /> _ Shower _ Gas pipt�o <br /> _ Kltchen sinh 8 dispoeal _ Watw hoalar <br /> � Dishwasher � Gas Neplaco <br /> Clolhe5 washnr __ 6as m�e <br /> _.L. Wa�ur healei ._ CloUios dryor <br /> _ Sink(scrvico/6ar/mop,reta) —_._ Rnrqe hoW <br /> ___ t3��ckflow prnvonter _ Exhaust fan <br /> I ` U�hml _,_ Heal pump <br /> � _ U�inhiny Founlain __ Uni�hautor <br /> .__ F�oor drain <br /> I = Greasr.Irap A— _ Retrlgo�ation <br /> i! _ Roof drafrs __ Woodstow <br /> _ (Nher __ Othm <br /> --�_ <br /> I -__._�_ — <br /> Cm'OF EV[IiETT�pCp�gp�Eg TAX CODE IS�105 <br /> � �hereby certlily that 1�ave read arnl e�ami�ed this appticauon and know the same Io ye we and carecl. All provisions d luws and <br /> aJinaces poveming Ihis type M work will be pomplied wllh whelhor spec4fiod herein or not.The prantin o!a <br /> lo givn aulborily to v;olate or�incel tha provlslon ol nn Pe <br /> coit.lrucli n.lhot I am authurizod by Ihe owner ol lhis Y r��enL o'�eAam"�W r�ulq��. 9 ��ft do�cc nol pesumu <br /> r cunstruction a the � <br /> S�eic Enl r.turs Lnw 1A 27�a�N p ,�nn WAC n Q�� Y P we work for whicb applicallon�g mPertortnanee o! <br /> � /.' ade anC I rnmP�Y with;he <br /> �� ' ` ,i�tc� /� Sz f� <br /> � ture ol O�med niractor ulhonz[, pen� � <br /> � utTe— <br /> � <br />