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Jul 29 10 05:15p Washington Water Heaters 42557Z6781 p.3 <br /> � i� <br /> 1 <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810—FAX 425-257-8857—ww�w.everettwa.org <br /> APPLICATIONS ARE ACCEP'fED FROM B AM TO 4 PM / "3-D�- I D <br /> TE ADDRE 1( PARCEL TAX I.D.y PERMIT A � <br /> o� ����fc�efCr�P �f,�lt1 �r� 1�v5N 90� . � o Y Or�7- �� �' <br /> LEGA LOT N0. BLOCK TRACT OR SUBDIVISION i <br /> DESC. <br /> OWNER �I ADDHE55 CITY2IP PHONE <br /> �0�e-r'fi" ��l(,lC�"1C�-ti c, �n3a"I C.e�e�vtCra.p � �U-' �G�F1f��3 z 5�5�3 r 5(o <br /> 7ENAHTNAME ` CONiACTF RPERMIT� PHONE �Q-9i � �� <br /> IJI�cGI �`a.i2r�.(s E.�a�.hotaua#evv anu � a!� . . <br /> WT�S��n1�77�� �/ilE✓�--lY�"^",A ! �QJV, ��L/ S � NE �% /p_ �� <br /> CONTR.LICENSE o�C �� ��� <br /> r,���s�� y�a oP �t�c�ue 1.�� 9�'va5 <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> 1 L SII.�Q��+ 1�1C I _Electric �as_Other � l �d`(� — <br /> I WORK DESCRIPTION <br /> L ���l.b1c�� ���- � �S ��G��-C.v l'�-C' 0.-�,c� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF F1XilJRE OR ITEM N0. TYPE OF FlI(TUflE OR ITEM <br /> 7oilet AIC—air handling unils <br /> Bathtub Forced air systems <br /> _ Lavatory(wash basin) Gas piping <br /> Shower � Water healer <br /> Kitchen sink&disposal Gas lireplace <br /> Dishwasher � Gas renge <br /> Clolhes washer Clolhes dryer <br /> Watcr heater Range hood <br /> Sink�scrvicc/badmap/otc.) _ Exhaust fan <br /> Backflowproventer _ Heatpump <br /> , Urinal __ Unit heater <br /> _ Drinking Founlain Boiler <br /> Floordrain _ Refrfgeratlon <br /> Groase trap ,_ Woodslove <br /> � Roof drains . Ofher <br /> Other__ — <br /> � GTY OF EVENETT LOCAL SAIFS TAIC COOE IS 7105 <br /> I herehy ceritily tlial 1 have read and ezamined this appGcation and know Ihe same to be bve anJ coRect. All provisions of laws and <br /> ordinaces govertung this rype at work will be compliod wtth wheltwr specified herein or not.The gran[ing of a permil does not presume <br /> Io pive authority to violate or cancel the provisbn ol any other state or local law regulatin0 croslruction or the pedortnance o1 <br /> conslruction.That I am aulhodzed by the owner of this raperty to pedorm the work lor which applicalion is mada and I comply with the <br /> St ntractors Law 18��/ d��.2C�� � ���� ,\ <br /> CL�f.l G � <br /> Sig�niu�ie t Ownc}(Gtinlractod ul orized Agant at�o— <br /> I ti <br />