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Jul 28 11 08:13a Washinyton Water Heaters 4257461563 p.1 <br />� � <br />� <br />PERMIT APPLIGATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVEFETT, WA 88201 <br />425-257-8810 — FqX 425-257-8857 — www.everettwa.org <br />APPLICA71pN5 ARE ACCEPTED FROM18 AM TO � PM �"��_ <br />c� � P R E TAX I.D. * <br />l i� �i.J /� U� `l��3z�� <br />DTNO. BLOCK TRACTOfiSUBDIVISION/ <br />� ADDR 93 <br />�E'���1/1.S �31� -ftii�'i/�cw,9-� t <br />AN/� ��Jac� �Pa.�uf�S <br />tv�5►�iiv�TON ��r <br />cormt. ucovse <br />t � RSh�rT�- 9� <br />USE OF BUIL�ING <br />1'�S l� /1 /?�� <br />WORK DEBCRIP'►lON <br />� !G� <br />HEATSOURCE <br />� Elxtrlc _ Gas _ Other <br />�Z <br />3%3-�=/au <br />l.va 9�a5 <br />CONTRpCT PRICE OF WORK <br />� (t/'Z. <br />��.etiti�c� �n��- 1 -e� �-rz� wa..�' hQ�..�-c�- <br />NO. I TVVE OF FlXTURE OR REM <br />Tollet <br />BathWb <br />Levatory (wash basin) <br />Showar <br />IGtchan sir�c & disposal <br />Dlshwasher <br />ClWies washer <br />Waler heater <br />Sink (servicelbaNmop/elc.) <br />Backflow preventar <br />Urinal <br />Drinking Founlaln <br />Floor drain <br />Grease trap <br />Rooi drains <br />Other <br />NO. � TYPE Op FlXTURE Oti REN <br />A/G—atrhandlinp uniLs <br />Forced ah systams <br />Gas piping <br />Water heater <br />Gas fireplace <br />Ges ranga <br />Clothas dryet <br />Ranpe hood <br />EKhaus[(an <br />Heat pump <br />Unk heatar <br />Boller <br />Ra(ripara8an <br />Woodstwa <br />Other <br />qTY OF EVlRETT LOCAL SALES TAX CODE IS 9105 <br />I hereby ceritify that I have read and axamined this appllcatfon and knaw ihe same to be hua and carreot. All provfslons ol �aws end <br />ordinaces governing this type of woAc will be oomplied with whether specHied herein or not. The grendng ot e permk does not presume <br />to glve autlwriry tn violate or cancel the pmv(sfon of,,,pppny other sta[e or local law reguleting cons[iuction or the pertormanee of <br />'on.�l am autlwrtz�g�tha owner �property to perform tfie work 1or which appllcation is mede and I comply wiMi the <br />S1ate ts 1 �i l.l��uC 0'` J C (—�/ <br />:omrac�onnutnouzea qgem p� - - ` <br />�'C CC Gs� LR?'1�1� :�- ����U''�a�f��A)(J <br />