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.:u! 21 10 01:09p Washington Waler Heaters <br />\ <br />4255726781 p.3 <br />i <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — wvrv+.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />� �a8' t�fadr�n St <br />LEGAL LOTNO. 640CK <br />�ESC. _ <br />OWNER <br />5��� �er� Ka� <br />TENANT NAhfE <br />c IJI�GFI�f11f/'r�lJ ��.1.�i"1�2i�i7 <br />CONTA. <br />C <br />PARCEL TAX I.D. iF <br />C�v5y5U� l'70 <br />R SUBDIVISION A <br />F, R PERMfT� PHONE <br />VJLI,I CI vIJ E-MAILI <br />7 --a� -i� <br />PERMIT iF <br />e ue GUa 9�ia5 �5d 8 <br />USE OF BUILOING HEAT SOURCE CO�RA�Cf/rR�ICE OF WORK <br />��,C����� I �Electric _Gas_0ltier _ ( �JV <br />WORK DESCRIPTION <br />rru.,�- � �e.�ec� � ���ec�c� <br />NO. 1 TYPE OF FlXTURE OR ITEM <br />Tailet <br />Bathlub <br />Lavatory (wash basin) <br />Shawcr <br />KitGien sink 8 disposal <br />Dish�vasher <br />Clolhes wpsher <br />Water healer <br />Sink (service/bar/mapletc.) <br />BacMlow prevenler <br />Urinal <br />Drinking Fountain <br />Floar drain <br />Grease t2p <br />Raof drains <br />Olher <br />NO. I TYPEOFFI%7UREORRE:1 <br />NC—air handiing units <br />Farced air systems <br />Gas pipng <br />Water heater <br />Gas fireplace <br />Gas rango <br />Clolhes dryer <br />Range hood <br />Ezhausttan <br />Heat pump <br />Unit heatar <br />Boiler <br />Relrigeration <br />Woodsrove <br />Othcr <br />CITY OF FYEREfT LOCAI SALES TA% CADE IS 3105 <br />1 hereby coritily tha11 have read and uxamined this application and know the same lo be true and correct All p/ovisfons of Iaws and <br />ordinaces goveming ihis typo of wodc will be complied vrith ivnether spoci(iod herein or ncL The gran[in� ot a permi[ does r.ot presume <br />to g��o aulhori:y lo violato or q�cel 1ho provir,ion of any olhor cL�lo or loc�l low roguioting mnolrudion or the (wdortnonca of <br />canslruclion. That I am authorized Iry tho owner of this property to pedortn the vrork lor which applicaGon is made and I wmply with the <br />Stale Conlractors Law 1827 RC and 2�q200 WAC. <br />�,r► e ,r �' C ,%(-� �lV/.t�¢.c� `7-Z/�C) <br />