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Dec �J 10 12�.45p Washington Water Heaters 4255726781 P�� <br /> ��.,.� r��. <br /> � PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERV(CES <br /> 32D0 CEDAR STRE�, EVERETT,WA 9820' <br /> 425-257-8R10—FAX 425-257-8857—www.everettwa.org � <br /> APPLICATIONS AHE ACCEPTED FROM 8 AM TO 4 PM i <br /> SITEADDRESS �P`� ��IO��D � I P� I�^ I ` ' . <br /> �1�0�' JaciL�°n 4��� �s L � �� �� . <br /> l[GA LOTNO. BLOCK TRACTORSUBDIVISIONp <br /> � DESC. <br /> OWNER ADORE55 CITY2rI,�P PtiONE <br /> �C( 15z� 167r1'LS �,(�0$' C�QC(CSOi'if� C�13�+2-!}= -IS20�J 3'�-G1-ZI �7 <br /> 7GNI}�NT, N, AME �„ � FGNTl1CT FQ, R PERIAfT� PHONE Gd'y70� � D /] �( <br /> �-M.l ��.. I ��' Y� I`.fQCG LLJQ.,�I�LIJ E-MN�dILf��7L!�L�y�t C�(/�l <br /> I� CO�- NTR��LIIV Vl�"' Vv/�I����"^`7A]�f7E / allU II�vL� ,�' I IP PHONE ifA�/'i ,ry� � <br /> Vfl 7 /O <br /> � " $u.l�C ff ��g <br /> CON7Fi.LICENSc a /1�(/�vi r p �Q .��fQ� <br /> —����5�� 9� P �d� u.�. <br /> USE OF 6UILDING HEAT SOURCE CONTflACT PRICE OF WORK <br /> ��IC-Q-Q(Y�0.�\ �—�ec!ric _Gas_Other `�-1 �p � <br /> WORK DESCRIPTION <br /> j �r�� (�--R � 2 l�C�-v� � l�-��'�.o�.-f--er� <br /> PLUMBING MECHANICAI. <br /> ' NO. TVP[OF FlXTURE OR I7EM NO. TYPC OF FlXTUf1E OR ITEM <br /> Toilet NC-air handl ing units <br /> (3alhtub Forced air systems <br /> Lavatory(wash basin) _ Gas piping <br /> Shower __ Water heater <br /> Kitchen sink&disposal _ Gas fireplace <br /> Dishr�ashcr Gas range <br /> CIoU�es washer Clathes Oryer <br /> = Waten c�aler _ Range hood <br /> _ Sink(scrvlceNar/mop/c1c.) _ Exhaust fan <br /> _ Backflow preventer _ Heat pump <br /> Urinal Uni�heator <br /> � Drinking Fountain _ Boiler <br /> floor drain Refrigeralion <br /> Greasetrap _ Woodsiove <br /> ^ Roofdrains . Othcr _ <br /> iOthcr _._ _ <br /> I <br /> 'rl CfTY OF EVERETT LOCAL SALES TAX CODE IS 5105 <br /> I horeby ceriGfy ihat I have rcad and ew�mined this applicalion and know the same lo be Irue and cotrect. All provisions of laws and <br /> ordinaces go�eming ihis typo of work will bu compliad wilh��fiothor epocifiod horoin or not.Thc gmnt�ng ol a permit does not presume <br /> to givo authority to violale or cancel ihe provision ol any olher state or Iocal law regulating construction or lhe peAormance of <br /> construclion.That I am aulhorized by the owner of this property lo pertorm tlic work for which application is made arM I comply with the <br /> Stale onlructors La 16.27 RGW nd 296.200 C. <br /> l �i � 'C�,y ��.�. �a-i�-b <br /> � <br /> SigWawre of Owner/Conlra orlAuthorizod Ayent Dato <br /> � . W�n �"�.eN�� <br /> j � yv�1 <br /> GC; l �l� 07`� <br />