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4257461563 <br />May 30 12 01:08p Washington Water Heaters <br />� � t. <br />PERMIt APPLICATtON <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />SITE ADDRESS <br />LOT NO. <br />NAME <br />APPIJCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />( ocv� <br />r— a��K <br />W/�{"T�..%�- <br />�i� <br />USE OF BUILDING <br />r�s�der��'c�. ( <br />WORK DESCRIPTON <br />� <br />NO. � IYPE OF FlX7VRE OR ITEM <br />Toilei <br />Bathtub <br />Lavalory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Oishwasher <br />Clothes washer <br />Water heafer <br />Sink (service/bar/mop/etc.J <br />8ackflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Greasa t2p <br />Roof dra(ns <br />Other <br />PARCEL TAX I.D. V <br />Ob i�UJD Ob2f0/lDU <br />' OR SUBdVlSION #� <br />9p�/ <br />vu� l�2 9�5 <br />p.1 <br />s -����� <br />PERMfT # <br />nia��s-os�1 <br />MONE <br />�:z-Zzfi <br />Td�Y7$� <br />fwa{ev�f ou � c�! <br />Ho iVf G�_ - <br />— HEAT SOURCE I CONTR jCT PRICE OF WORK <br />ElecVic �-6as_,Other O��,J <br />c�� wa� ��.-�-e� <br />NO. I TYPE OF Fp(TURE OR ITEM <br />A/C – air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas (ireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhausttan <br />Heat pump <br />Unit F�eater <br />Boiler <br />Refrigeration <br />Woodstove <br />Olher <br />GTY OF EVEHETT LOCAL SALES TIUC CODE IS 3105 <br />I hereby ceritlfy that I have read and examined this applfcation and know the same to be true aM corted. All provisions ot Iaws and <br />ordinaces governing ihis type ot work will be compEied with whether spacified herein or not. The graMing of a permit does not presume <br />to give authaity to vio�ate or cancel the provision ot arry other state or local law regulaling construction or tFe performance of <br />canstruction. That I am aWhorized by the own{� of this prop lo perform the work for which applicatian is made and I comply with the <br />StFfle C dors Law 7821 R and 296.a0Q WAC. ^ 7 ^ <br />(N���-t� � """ ( a�'` : � . ��" � Fnlec�a.�.. •2�v�cu�. cY �� x: Cc;pr.� •{-'u <br />Signature Owner/ ontractodAuthor¢edAgent Date `����'�� �.�� � <br />A _ _.-.1. <br />u�-2- C� 1� ��il�i� � �'c��i�-C�U� �G.i����'r�u,� �'C; <br />