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Jul 29 10 05:O5p Washington bVater Heaters 4255726781 p.2 <br /> � t <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 320D CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810—FAX 425-257-6857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTE�FROM B AM TO 4 PM —� � � �`f D <br /> SfT DDRESS PARCELTAJ(I.D.k P RMTA <br /> �'�r a ,���c� � ��� o�y a-Ga �oo � �oo�- ���� <br /> L[GA LOTNO. BLOCK TFACTORSUBDtVISIONi <br /> OESC. <br /> OWNEfl DRESS � P E <br /> �',�a��Ccs C�.Yuz� 13�a ��a�c(�� £��-�� 9�a�1 a�s- 3a� <br /> TENANTNAIME ONTACTF�,(RPERM7� PNONE ��� '7�� J� <br /> I�(,�.� �LJCUZI��S e-uai.flOfGt�Q�Vy uZC � C711 � <br /> �I�1(�(/U� W/IiG�-7YGil�a-��D ' O��lC.-77�r J N �[3 .JbS � <br /> CONTF.UCENSE <br /> �,���5��� 9S�D �P P�l��vr,�- Gl�Q PUoS <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WOHK <br /> � ��,� � _Elcctric �Gas_Other �'�� <br /> WORK DESCRIPTION <br /> Ch�� ou��- l �Cs w�-�- ��-e� <br /> PLUMBING MECHANICAL <br /> NO. 7YPE OF FI%TURE OR ITEY NO. TYPE OF Fl%TURE OR 17EM <br /> Toilet A/C—air handling units <br /> Bathtub Foroed air systems <br /> _ Lavatory(wash Casin) Gas piping <br /> Shower � Water heater <br /> Kilchen sink 8 disposal Gas flreplace <br /> Dishwasher ` Gas range <br /> Clothes washer Cbthes dryor <br /> \Nater heater Rarge hood <br /> Sink(service/bar/mop/eta) Exhaust fan <br /> 6ackflow preverrier Heat pump <br /> _ Urinal Unit heater <br /> Drinking Founiain Bdler <br /> Floor drain Rclr(geration <br /> Grcacc irop Woodsiwe <br /> Roof drains Other <br /> Other <br /> CfTY OF EVERETT LOCAI SALES TA%CODE IS 3105 <br /> I Iwreby ceritily tliat I have read and examined this appli�ation and know the same to be true and correct. �II provisior�s of laws and <br /> ordinaces gavemirg lhis type oF work wiii be complied rtiln whelher specified herein ar noL The granting of a permit does not presume <br /> lo give authocity to violato or cancel the provislon at any othor state or local law repulaling construction or the pertormance of <br /> constructicn.That I am authorized by ihe ovmer ot Mis property to pedam the work lor which application is made and I canply with the <br /> �at onhaclars Law 18.27 RC nd 29Ek2 AC. <br /> �. �c� C.e�i �2��o <br /> Si t m ot Owner/Conlra or/Authorized Agent Dato <br />