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JUL-01-2011 15:20 FRO�-WASHINGTON�6'ATER HEATERS <br />D Na <br />lOT NO. <br />DESC. <br />�� <br />USE OF BUILpING <br />I�S�C.lLt� <br />WOHK DESCRIPTION <br />B663T57454 T-784 P.OUI/001 F-031 <br />PERMIT APPLICATION <br />CITY OF EVERE7T PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 – FAX 425-257-8857 – www.everettwa.urg <br />APPLICATONS ANE ACCEPTED FROM B:.sA TO 4 PM <br />eI.00K <br />4u/I-��2 <br />L—, <br />C,�r,�lc� <br />NO. I TYPE OF RkiURE OA Ra1 <br />Tollet <br />Bathtub <br />Lsvemry (wash basin) <br />Shower <br />Kitchen sink & dlsposal <br />Dishwasher <br />Clothes wesher <br />Water heater <br />Sink (senice�bar/mopletc.) <br />BackFlow preventer <br />Utinal <br />Orinking ?ountain <br />floor drd n <br />Greaso�rap <br />Rooi drains <br />Other _ <br />PARCEL. TAX I.U. t <br />U�y. �I , 2 <br />TIIACT OR SUBDMSION R <br />�1U10 <br />PEqMR� <br />G�c %�� 9�a5 <br />HEATSOURCE <br />, Efeca;c �-6as _ ar,er <br />� " ` � <br />� <br />PEFiAAtT t <br />C�, <br />CONTRACf PHICE OF WORK <br />� � a �13 <br />�j(� Ll1J'C.�' / �E�� <br />TYPE OF FI%7URE OFi REM <br />A!C — 8ir han01m9 unils <br />Foreed air systems <br />Gaz piping <br />Water heater <br />Gas fireplace <br />Gas ranpe <br />Clolhes dryer <br />Range hood <br />E:tiaust tan <br />Heat pump <br />UnR heatef <br />Boiier <br />Refrigeration <br />Woodstave <br />OtAer <br />CITY OP EVEREIT LOCAL SALES TAX CODE IS 9105 <br />I hereby ceritity lhat 1 have read and examined ihis apdicabon and know the seme iq be true and correet. AII provteions oF lews and <br />ordinaces goveming this type o1 work wlll be compliad wlth whether specified herein or not. The grandng of a permit does not presume <br />fo give aulhority to violate or cancel the provision of arry othef sfate ar local law regu�aCng constnicdon w the perfortnanee oi <br />conswaion. That 1 am authorized by the ownere �f t property to pe�fartn the work for which applicatian is mada and I comply with the <br />�S .. o raetors L9uv.1827 RCW 2962D6 W . �� �' // <br />Sign tu o Owner/ onva r ulhorized Agenl Date � �b.n;j'T a.r�'� <br />- ^ •- � �- -- . .� <br />�� v �.a�.t�� ��� �-°'�`,�`�y`' <br />�� � <br />