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Oct 01 1?02:16p Washington Waler Heaters 4257461563 P � <br /> ! <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVEFiE'T-f,WA 98201 <br /> 425-257-8810—FAX 425-257-8857—www.evereriwa.org I <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM /D—b 1 �l Z <br /> SITEADDRESS , � PARCELTAXI.D.# PERMIT# � <br /> Z8c? t �FC�I--t���% Si' � b �3 ��v�7al�'Dl � 10—ov� <br /> LBGA LOTNO. BIOCK TFiACTORSUBDIVISION# <br /> DESC. CITYZP PHONE / LC � <br /> OW NEli ADDRE55 <br /> ,��L,�•tcmc� LcisSi{r z�ui �i(�nSr �fl Ec���t l��i �i2-c��rc� <br /> TENANT NI1MC- CDNTACT Fp%\R PEHMR� PHONE g�J�'97� � <br /> ��[ I V(A.CU V./f.l�fZ��iS . E•MAI��WZLI(._��7fJl.L �Cl�I '�IIn <br /> CONTHACTO I'lI(7 1�i`Y/��"�ADDR 55 I Zl JV �C�.GL�r ,S/�iy 21 PM ifif � /p� <br /> Gi1fl5�fING�TO� � �sucfct� `w w�5�g <br /> CONTR.LICENSE 0 (1 n c/�' v� �Q 9�JQ) <br /> ra�ttSr-�r�� 9�'v P �d� <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> r�StG����(G� i I _E��� ���—�„�� lvo� <br /> WORK OESCRIP'T10N <br /> (, �' lCl.� �; Q2�.�' I � �.y t�UG�:�4� �rU2CC-!-�� <br /> � PLUMBING MECHANICAL <br /> !!O. I NPE OF FlXNRE OR ITEM NO. TYPE OF FlXTUR[OR ITEM <br /> � = 7oilet . = A/C—airhandlingunits � <br /> DatMub Forced air systems <br /> lavalory(wash hesin) Gas piping <br /> Shower � Water heatar <br /> � Kitchon sink&disposal Gas lirepace <br /> Olshv�asher � Gas ranga <br /> Clotheswasher _ Clothesdryer <br /> Watcn c�atcr Range hood <br /> � Sink(scarvicelbadmop/otc.j _ Ezhaust fan <br /> BacMlow preventer _ Heat pump <br /> � Urinol Unit hcatcr <br /> Drfnking Fountain _ Boiler <br /> Floor drain _ RelriSeration <br /> Greasc trap _ Woodclove <br /> Roof drains Othcr__ <br /> ` Olher <br /> CITY OF EVERETT LOCAL SALES TA7C CODE IS 3105 <br /> I hereby ceriti(y Ihat I have read and examined lhis appfication and know the s2mo lo bo true and cortect. All provlslons oF laws anJ <br /> ordir�2cos governing thia type of work will 6o camplied with whelher specilied hercin ar not.The granting of a p:rmit does not presume <br /> to give autnonty to vioiate or cancef Ihe provision ol pny olhor stato or local law regulatire conslmction or the pe�fortnancn of <br /> conslruclipn.That I am�uthorizod by iho 0 of this property t edorm tlie wark tor whirh application is made and I compty with lho <br /> i Stat�Cont ctors Law 1@27(�RCyr,� nd 296. Ob WAC. / n�,' <br /> / f L/l-�i/ /� .G-f.�(..�. l ���1� ` "`��-'[�bNu.�.i.l G��� ����k:.�L}."'�.'�� <br /> _Cx� �, . <br /> Si t� ol'O�maq tmct dAutho zedAgent ale �M1��"'��"r�� �Y`�`"1n <br /> 9 9 r' t 7ti�'�-� <br /> �'�,c'� u�-e- ��: ��n�v � ��� ��- C�m-����eiv��-la�l'��►'��u,+ -�v C��tr� <br /> �'{��vv��.��r�+�. <br />