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Aug 14 10 12:11p Washington Water Heaters 4255726781 p•2 <br /> C � <br /> PERMIT' APPLICATION <br /> CITY OF EVERETT PERMIT SERVlCES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810—FAX 425-257-8857—www.everettv�a.org <br /> APPLICA710MS ARE ACCf:PTED FROM B AM TO 4 PM 8 'J � �C D <br /> SIIE ADDRESS PARCFI.TN(I.D.it PERMITi� <br /> `���I �u `a2 St �io3�l�.-7uG�(�D $DU - a � <br /> LEGA LOT NO. BLOCK �RACT qi SUBOMSION p <br /> OESC. <br /> OWI�R ADOflE55 CR7 IP PHONE <br /> � �.. {���aci�s ��7�.1 ��� �St E�v��� ��w3 5� a - ���' <br /> TENANT tWAE NTACT F R PEHMR'� PHO►E QO' 7 ' S' <br /> �� i�� I�WI• VJi.tA��L�IS EYAIUI�7u�7 �� <br /> WflbNiNGrTO� �uRTE2xf��" lS�XI ec�cu s ' Oi�9'�'— � <br /> �o���ns%�r.r� 9s� oP ��� ��8 <br /> �c c�u� lva- 9f�a5 <br /> USE OF BUILDING HEAT SOURCE CONTc�RACT PRICE OF WORK <br /> ����>�Cl�����ta.� I xElectric ,_Gas_Olher I �-LZ �Ca"�1 <br /> WORK DESCRIPTION <br /> C,I'lc�a�i:�� (:�u.� I �.�(�cfw�c: �1ct—wr.c�-C.�� ��,r��_ <br /> PLUMBING MECHANICAL <br /> NO. T/PE OF Fl�(TUqE aR ITEM NO. TypE OF FlXTURE OR RH�i <br /> _ 7oilet AIC–airhandlingunits <br /> Bathwb _ Forcedairsystems <br /> _ Lavatory(wash besin) _ Gy�P��� <br /> _ Shower Waterbeater <br /> _ Kitchen sink 8 dfsposal _ Gas firep!ace <br /> _ Dishwasher _ Gas ranpo <br /> Clothes wasber Clalhes dryer <br /> ,_J_ Watcr healor Ra e hood <br /> �9 <br /> _ Sink{serviceibarlmop/otc., � Exhaust lan <br /> _ 6acNflow prevonter Heat pump <br /> _ Urinal Unh heater <br /> _ Drirdcing Fountain Boiler <br /> _ Floordrain � Relrigcration <br /> _ Grnase trap Woodstwo <br /> _ Raol dra'rns Other <br /> O1her '— <br /> CITY OF EYERETf LOCAL SALES 7AIC CODE IS 31 QS <br /> I hereby coritify that I have read and examined this nppiicalion and know ihe same to be Wo and correct All provisions of laws and <br /> ordinaces goveming ihis lype o(woric will be complied wilh whethw specified herain or noU The prantinA a(a permit does not presume <br /> lo flive authority to violate or cancel the provision ol any oUier slate or local law rogulating construction a the peAortnance ol � <br /> construction.Tha[I am authorizRd by tbe owno�of lhis pmperty to perform Ihe work lor wliicn application is made and 1 comply wilh the <br /> Stat Conlracters Law 18.27 W and 2962d0 WAC. <br /> ' '.� ��� ' %G�c.cu.�,''--� �-IY��G! <br /> Sy n lura ol Owner( o tractot/Au[horizetl Agent Uate � <br />