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�. <br /> Oct 11 11 10:31a Washinglon Water Heaters 4257461563 p•2 <br /> l �. <br /> PERMIT APPLICATION <br /> � CITY OF EVERETT PERMIT SERVICES <br /> i 3200 CEDAR STREET, EVERETT,WA 98201 <br /> i 425-257-8810—FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AN TO 4 PM , <br /> SRE ADDRE ' ,� PARCELTAX I.D A PERMTR � <br /> � � , (K��S 1� �^-C Gvtl,�7q3$Z�l��' ' -D�J <br /> LEGA LOTNO. BLOCK TRACTORSUBDIVISIONi � . <br /> DESC. <br /> OWNEq ADD CITY2 HONE �J •- <br /> �t,(a�-1 �%1�.I1�S I�IZi Du�� �� �zo3 zy�- 3y7 <br /> TENANTNANE ���� �ACTF RPEHMR,�, f PHOlF ��'g��� 5� <br /> I VGC� 'U �Gf.Y1lC�iS E.�,w�O�WQ.� OtL� Ul1 . <br /> WftS�rNG�Td� 6v�-TF_/LY,'�#r� ��at �cv- s AQ 9�7g— u'� <br /> ��"�;�tisr-�rr� 9� o P f�etic vuc l,Va. 98�a5 �'�S <br /> USE OF BUILDING HEAT SOL�RCE CONTRACT PR E OF WOHK <br /> ��S���r1��i�- � _eiear��c�s—ane� � �.�� <br /> WORK DESCRIPTION <br /> C ��c � , ou.�- ( c�� i�a.-� h�a-� <br /> PLUhIBING MECHANICAI <br /> NO. TYPE OF Fl%TURE OR RFJYI NO. TYPE OF Fl%TURE OR REM <br /> Toilet - A/C—airhandlingunits <br /> Bathlub _ Forced air systems <br /> _ Lava[ory(wasn basin) Gas piping <br /> _ Shower � Water heater <br /> Kitchen sink 6 disposal Gas tireplace <br /> Dishwasher Gas range <br /> � Clothes washer Ctolhes dryer <br /> Water heater Range hood <br /> Sink(servicelbarlmop/etc.J Exl�aust(an <br /> Badcflow preventer Heat pump <br /> Urinai _ Unit heater <br /> � Drinking FounWin _ Boiler <br /> Fbor d2in FieMperatlon <br /> Grease trap WoodsWve <br /> Root drains Othar <br /> Olher <br /> GTY OF EVENETT LOCAL SALES TAX COOE IS 3105 � <br /> 1 hereby coritily thal I have read and examined thts appfication and hnow the same to be we and cortecL All provisions af laws and <br /> ordinaces govemirg this rype of woAc will bts complied with whelher spedfied herein ar not.lho grantinp ol a parmit does not presume <br /> to give authorfly to viofatn or cancel the provision ot any olhar state or Iocai law regulating constnicUon or the peAormarce of <br /> corutruction.That I am aulhorized by the owner of thls pr rty to perform the work lor which applica8on is made and I comply with the <br /> State Co rs Law��� .aQO WAC. ����� /� <br /> r pf10� �� <br /> {�ll'w <br /> Sipnalure a e! ntracto Authorized Agenl Date <br /> �fi�.Q��U�-e- IVI�'0 � (�c'rr'`t"I�C�CI'U��Ccl� ��Vi1�U,� � '�� <br /> �i'hUnn�t�w�. <br />