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µAY-OB-2012 O7:l8 FP.O�-WASH!NGTO{ WATER HEATERS 8663i51454 T-166 P 001/001 F-402 <br /> I PERMit APPLIGATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETf,WA 88201 <br /> 425-257-8810—FAX 425-2u7-8857—www.everettwa.org <br /> APPLICA710NS ARE ACCEPTED FflOM 8 AM TO 4 PM 5_pg"I Y <br /> SIiE AGDRESS PMCEL 7AX I.D.N PENMIT 11 <br /> a 3a- s�n�.��r z�o5zao �c� zo , m�u�s- ���� <br /> IEGA LOTNO. OI.OqC 7AACTORSUDDMSIONI <br /> �ESQ <br /> OWNEfl RESS ` q RI PF E 2 <br /> �.e��b�,� wi�G�' al3a- �sf1�G(�l Sf�i�'iCd 9�201 .�i�- 3,�/ <br /> 7LNANT MIE �°HiACT f A PERMIT� PHONB �O� 7 ' Q� <br /> I�1QCG �GU71��.S �.ua�hUft.�d�P,�'y ott L ah . <br /> c wflsH,luG�TOnI w1�TC�-w�91r�✓� � g�u,c �a' S � � ,0 8'�S om <br /> �N�u�s1��9� oP /��cvuc l�Iu 9�a5 <br /> I USE OF BUILDING HEAT SOURCE CONTRAC7 PRICE OF WORK <br /> �L S�d Vn�`a,,, I �Eleetric �Gas_O�her � I I?i��� <br /> WORK DESCRIPTION <br /> (.. �1G� �, 1�1�1.� � �� i1��� �"�Q a� <br /> , <br /> PLUMBI G MEC ANICAL <br /> NO, TYPE OF flX7URE OR ITEN ND. TVPE OR FlXTIIHE Oq REM <br /> _ Toitet _ AIC—alrl�andlinpun(Ln <br /> __ Baihtub _ Forced alt syslttilt5 <br /> lavatnry(wash basin) Gas ptping <br /> � Shower � Waler heater � <br /> Kitchen slnk&diaposal Gas fireplaca <br /> I � Dishwasher � aas ran9e <br /> ClothBs washe� � Clolhes dryet <br /> Water heater � Ranpe hood <br /> Sink(service/badmopJetc.) Ezhaust fan <br /> 0acknow preventer _ Heat pump <br /> Unnal UNt heaief <br /> Drinking faun�ain _ F3oller <br /> Flaor drdin pcirigeration <br /> �ruasc trap Wo�dstu�e <br /> Roof drains O�her � <br /> Olher _ <br /> IGTY OF EVERETT I.00AL 6ALfi9 TA7(COOE IS 3105 <br /> II hemby coritify Ihat I have rend ond esamined Ihis application end know Ihe carl�e fo be trua and covect. All provisions of laws and <br /> ordinaces goveming Uis lype of woM wlll6a wmplied wllh whether apecKied herefn or nol.The pranting ol a pe�m(t doce not presume <br /> lo g��e authority ta v(niate or cancal the provislnn of eny other s�alo or loail law repuleting tOnslruction a tl�e perlortnsnca ol <br /> construction.That I am authorizea by tho o er of this prupa�fy to peAorm the work lor which appGcatlon Is mado eM I comply with Uw <br /> �St ntractors�a 1 .2)R and 2 0 WAC. (y ,�� �� (�� <br /> ��(' S� —,� Yu1:,7i-'�VU:u.�L C! ��JG�(�3i,s TU <br /> na1 re ol(Tnner Lun ct r/ uthoriznd Agent atn C�'f�'�Y �ti''� <br /> Y � � I'' <br /> Qr� u�-e. i���S�o �l� �a-r,rt-�c��-la�l�;��r 14'l.(,� `(U Cl1T�� <br /> `Chunn��t� . <br />