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�4ay 02 10 11:16a Washington Water Heaters 4255726781 p.2 <br /> � <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERViCES <br /> 3200 CEDAR STREEJ', EVERElT, WA 98201 - <br /> . 425-257-8810-FAX 42�257-8857-www.everettwaorg <br /> APPlICATIONS ARE ACCERTED FqpM g q�TO 4 PM <br /> S�I/7EC�A,1DDRESS 5� 3'�U <br /> —( d �/'?J ,�'C�?G'�G"P/ PARCELTAXI.D_� PERMITii <br /> �t �l'1 G� G b �('�� 7U UU U �/�U U /1't loc9 = Bo <br /> �� IOTND. BLOCK TpACTOR5U3D1VISI0N# <br /> �ESC. <br /> UWNER <br /> ADORESS qTY21P PH6NE l Z <br /> Cmrutr�tit .�1ccCl� �(&'a3 r1�,�thcu t �� � c � <br /> r�anrNnME /�f'��� .3 /G- "l ,1G,�U <br /> �NT'ACTF RPERINR` PHONE G��C�"��� � <br /> �JQCU� �a,i'u f.�S E.,,,aJ�o�wa�v�J Qu� <br /> w�5�irv��N w�rE2W�r� l�a k.rce,c� s <br /> ��.�� - <br /> 3uc Je,4 � P U�`/�7g'— °,n <br /> le�Rs��c�p Pdct/Lvue (,l�a. 9�ia� �5F�8 <br /> USE OF BUiLDING HEAT SOURCE <br /> ��� c7lC���C�i �Iearic �Gas_Other ���PRICEOFWORK <br /> WORK DESC7?lPTiON ��g� <br /> �.GIGc-GtG o�,�- l ��lec�i�c� �uc.� ���.�� <br /> PLUMBING <br /> N0. TYPEOFRX7URHORIiEM MECHANICAL <br /> NO. TYPE OF FIXTURH OR[TEM <br /> ._. Toilr.t <br /> _ Bathtub � _ A/C—a'vhandGngur�fts <br /> _ Lavatory(wash basin) — ��cod atr systems <br /> _ Shower _ Gas ptping <br /> _ IGtclien sink 8 disposal _ N/ater healv <br /> _ Disfnvasher _ Gas fimplacc <br /> Clothes washer _ Gas range <br /> � Waterheate� _ Clothnsdryer <br /> _ Sink(sorvicclbar/mop/otc.) — R�9e�+ood <br /> _ Dackllowprevonlcr Exhaus[fan <br /> _ Urinul _ Hoat pump <br /> _ Drinking Fountain —_ ��R hoaler <br /> _ Rowdrain _ Bailer <br /> � Grease trap _ Rehigerntim <br /> _ Rool dtains _ Woodstpve <br /> _ Olher�_ � Other_—_ <br /> CfTY OF EYEAE�7'LOCqL SALES TAX CpDE t5 3105 <br /> 1 hereby cerdify Ihat t have read and examined this applipCon and kno�v Ihe same tn be lrue and cortecL AII provisions of faws arW <br /> ordinaces govoming ihis type o1 work will be complied wilh whetherspecified heruin or not The granting of a perrNt docts not p�e <br /> to e�ive authoriry to violato orcancal ihu provision oF yry p�herst��Q a�����pw�uluting ao�strucGon or Ihe peRortnance a( <br /> conslructinn.That I am autliarized by the ownor pf ihis propaRy to perform the wo�lar which applicatlon is made and!comply wNi the <br /> State Iraclo�s La�v 7A7.7 ACIN d 2pR�p0y�(A�} <br /> n� � � y�f / ' 'J` /]��// <br /> L�/u�/ �C_ / <br /> Sr�rt hlre t wned ntr,�ct AutharizedAgent Data <br />