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Dec 17 11 01�27p Washinqton Water Heaters 4257461503 p.t
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<br /> � PERMIT APi�L(C�T(ON
<br /> CITY OF EVERETT PERMIT SERVICES
<br /> 3200 CEDAR STREET, EVERETT, WA 98201
<br /> 425-257-8810—FAX 425-257-8857—w�w�.everetiwa.org
<br />:� ,�� APPLICATIONS ARE ACCEPTEO FROM 8 AM TO 4 PM
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<br />� SIT ADD ESS '� PARCE�TAXI.D.i! PERMIT#
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<br /> OWNEfl � ADDRESS CITV2IP PHON
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<br /> TENANTNAME ONTACTFpj\RPERMIT� PHONt G��y7�� �Y'
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<br /> CONTA.LICENSE O�� �e� (%C�('f Q
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<br /> USE OF BU]LDING HEAT SOURCE CONTRhCT PAICE OF WORK
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<br />�p�y��. '� WOHK DESCRIPI'ION
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<br />� PLUMBING MECHANICAL
<br /> E��;�,. NO. TypE OF fl%TURE OR ITEM NO. TYPE OF Fl%TURE OR ITEM
<br /> _ Toilet NC–airhandiingunils
<br /> ,_ Bathwb ^ Forcedairsyslems
<br /> _ Lava;ory(wash basin) Gas piping
<br /> . „� Showc� � Water healer � �
<br /> ,����' Kilchen sink&disposal
<br /> _ Gas(ireplace
<br />��j'=��`'{ Dishwasher Gas range
<br />�'t��,,'� _ Clothes washer Clolhes dryer
<br /> X=� � ' _ Wa�er heater Range hood
<br />� - _ Sink(service/badmop/etcJ Exhaust lan
<br /> Backliow proverter Heat pump
<br />� = Urinal — Unil hcater
<br /> Drinking Foun�ain ^ Boiler
<br /> _ Floordrain Refrigeration
<br /> � �I __ Grease trap Waodstove �
<br /> _ Roof drains Other
<br /> Other — —
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<br /> CITY OF EVEflEfT LOCAL SALES 7A%COOE IS 3105
<br /> I hereby ceritify Ihat I have read and examined this application and know Ihe same to be true and correct. AII provisions cf laws and
<br /> ordinaces goveming this type of work will be complied with v�hether spacilied herein or not.The granting of a permit does not presume
<br /> to c�ive autboriry to violate or cance!ihe provision of any other state or local Iaw regulating consWclion or the pedortnance of
<br /> nslrocFi n.That I am authorized by the owner of this ro rty to pedorm the work 1or which applicatir,�i is made and I comply with the
<br /> State Com aclors Law 1�27 RCW and 2 00 WAC
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