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Aug 17 11 02:42p <br />I.EGA� LOTNp.L <br />�ESC. <br />OWNER <br />/�u.�1� � <br />TENANTNAME <br />N7AA OR <br />w�5r�in��,7 <br />corrm. LrA� �� E � <br />f'1 1l <br />USE OF BUIL DING <br />Washinglon VJater Heaters <br />4257461563 <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — �Aii 425-?57-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />w�tE2 <br />(.�`���� <br />WORK DESCRIP'f10N <br />C�'1(l� �'t C�� Ctit��' <br />NO. � . TYPE OF FlXTURE OR 17EM <br />Toilet <br />BalhWb <br />Lavalory (wash basin) <br />Shower <br />Kilchen sink & disposal <br />Dish�vasher <br />Clothes washer <br />water heater <br />Si�k (servicelbadmop/etc.) <br />Backfiow preventer <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Greasetrap <br />Roof drains <br />Olher <br />PARCEL TAX I.D. k <br />ov 39� a��> <br />lAACT OR SUPDIVISION R <br />AD�RESS <br />�La.�(i� �ct� ,�i( E <br />�ONTACT F R PEflMIT� <br />�.Ccr �a.��r�ls <br />ADOA 55 1 �A�/� l ���-a <br />/ A_JV <br />/�Cll�yGCC <br />HEATSOURCE <br />�lectric _Gas_Other <br />p.1 <br />PEAMtt if <br />�oa2� 3,r � � n�c - o�.�, <br />CI7Y21P PHONE �,?) <br />�erel�1�Z03 ��3-8,�3z <br />PHONE Q�'g7�'' � <br />E.Ma�fiUfGtllL1�EV�/ OZL � <br />� 1 IP PHO E ifR /'� <br />��s5�8 <br />/.�%Q 9�� <br />I CONTpACT PRICE OF WORK <br />� I'.P G��-�t.�. Ct�-�ri l�� c.��--�r� <br />NO. I TYPE OF FI%TUIiE OR ITEM <br />A/C—airhaodling units <br />Forced air syslems <br />Gas plping <br />Water heater <br />Gas firepiace <br />Gas rangu <br />Clolhes dryer <br />Aangehood <br />Exhausttan <br />Heat pump <br />Unit heeter <br />Boiler <br />Rofrigeration <br />Woadslove <br />Other <br />CITY OF EVEREfT LOCAL SALESTAX COOE IS 31�5 <br />I hereby ceriGfy that I have read and examined this application and know the same to be true and correc[. AII provislons ot Iaws and <br />ordfnaces governing this type of woAc will be complied with whether specified herein or not. The granting of a pertnit does not presurne <br />to givo authority to violate or cancel the provision of any other state or local law regulating cortsVuction or the performance of <br />�stmc6on. That I am authorized by t�}e, ovmer oi.thi�erty to pedorm ihe work Tor which application is made and I camply with ihe <br />S[ate nh crors Law tg.27 PJ ���f���� WA �' `� /� .. <br />� L.. �il: � f <br />LC SC�..��..�/��-C,7� � �C �'�ICG�� � (G�� <br />