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Dec 19 OS 11,37a Washingbn Watar Heaters 47.55726781 p.2 <br /> ( ��� <br /> i <br /> PERMIT APPLICATIOM <br /> GtTY OF EVERETT PERMlT SERVICES <br /> 3200 CEDAR STREE f, EVERETT, WA 98201 <br /> 425-257-8810—�AX 425-257_gg57—vnmv.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SI7E ADDRESS PARCEL TAX I.D.7f PERh71T„ <br /> 3i D LUirn4�.�� ��� �04�v� ba°iDU r'vl gi� - o3� <br /> LEGA LOTNO. BLOCK 7AACTORSUBDIVISIONp <br /> D[SC. <br /> OYlNEfl ADDHESS <br /> 1 � � /� `� ��( ��� ��/6 CITY/ZIP PHONE <br /> � � Lp�Zb�crd /���- <br /> ��'ey-�ff=`��l `fz5�-�2-�9� <br /> TENAt�T NAMH NTACT F R PERMIT� PHONE <br /> I F° � �SJO-y7���5�— <br /> `�C�cca' a,r�r�ls L,,_( /�� <br /> CUNTPACTOR /� !L //� `'/���7�-,� �-,r� np� E'MaUIUlUICL7(�f�1� OLC � �[ • <br /> COt�TR.SCCJ SjUI�� �JIIGl�-1"�C�7i��jADDRE55 / zi/U U'��lll ,� �21P PHONC ��8_ 'rnn <br /> �sCr.t de' <br /> ra��tsr-�� R�'D �P /ae���vue G�Q 9�ia5 <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE[p�_f-VlORK <br /> I �£lectric _Gas_Other ( � �G�G� <br /> WORK DESCRIP710N � <br /> �',C'lc,c,zZ�Q �%z�l � ���'-zc_ �vc.ci�l�2�ii <br /> , <br /> PLUMBING MECHANICAL <br /> NO. TYpE OF f1XTURE OR ITEM NO. TYPE OF FIxTURE OR ITEM <br /> _ Toile[ !b'C–airhandlin units <br /> Bavalo _ Forced air syslems <br /> __ ry(wash basin) <br /> Shovier ._ Gas piping <br /> Kilct�e�i sink&disposal — Watcr heatcr <br /> � Dishwasher _ Gas fireplace <br /> IClo�hes v+asher = Gas range � <br /> _L N'aterhealer Ciothesdryer <br /> _ Sink(scrviceft�ar/mopletc.) — Ran9e hood <br /> _ 3ackflmv preveMer _ Exhaust fan <br /> Urinal Mea[pump <br /> – Drinking Fountain _ Unit heater <br /> Flaordrain _ Doiler <br /> Greasetrap _ Refdgerafion <br /> Roof drains Woodstove <br /> _ Other _ Other I <br /> — � <br /> � CITY OF EVEREff LOCAL SALES TNt CODE!S 3105 <br /> � !hernby ceritify that I have read and oxamined this applicalion and know Ihe same lo be tme and correct. All provisions of laws and <br /> I eidinaces governino this rype of work�vill 6e compfied wilh whelEier specified herein or not.The c�ranting of 2 permit does not prrsume <br /> to give authority to vioiate or cancel ihe provision ol any other state or lupl law regulating consW clion or the perforrnance ol <br /> wnstruciiqn.That 1 am authorized by the ovmer o([hjs property to pedorm lhe work for which anplication i,made and I compiy wi[b ihe <br /> _Sla ontractors L�a�v 78.27 RCN�nd 29f,.:_70 W� <br /> � ' ��e�-C(:.CL/ l Cl,c�.c�..�(.� (z-1�-�'GI . <br /> � Si�7n ur ol Owncr/Con[r ctor/Aulhonzed Agent Date " <br /> �� <br /> i_ . <br /> _J <br />