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Oct 31 11 09:56a Washington Weter Heaters 4257461563 P•� <br /> � r � <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810-FAX 425-257-8857-vuvrw.everetlwaorg <br /> APPLICATIONS ARE ACCEPTED FR01�19 AY TO�PM � O '"�I `'��' <br /> SfTEADDAESS ' PAR LTAXI.O.tl PEiiMIT�M <br /> r� � �e � D� 330 ,�Illo �0�3 <br /> LEGA LOTNO. BLOCK TRACTOASUBpVISpNi . <br /> DESC. <br /> R � <br /> DRESS T�' � � <br /> z�.� (�. 'lf/.u�� 1 o Z wta S E 98z�/ _ z. <br /> TF7IANTNAYE NTACT�pp PEFiMT` PXOlE Q�� 7 � <br /> � (� I��,(� V./!M N LlS E•LMU K11 K�7C�'� O2C`-' ' <br /> w�s rnrc�Ton� w�-r�.�'�*� 1 &�o►,�.c��`u s 8'�8 <br /> �o►m+.��as pdell�vuc lUQ 98�a5 <br /> �,u�s �- 9� oP <br /> USE OF BUILDIN(i HEAT SOURCE CONTRACT PRICE OF WORK <br /> r�s�den-Ha. l � �,�,� _��_�,e� � � � �� <br /> WORK DESCHIP110N <br /> C �a� pu��- ( �e,�.e_e� �a.-� h�a�e,r� <br /> PLUMBING MECHANICAL <br /> ND. TYPE OR RX7URE OH REM NO. TYPE OF FlXTURB OR REM <br /> Tdlet _ A/C—airhandlinpunits <br /> BathWb _ Foicedairsyslems <br /> Lavatory(wash basin) _ C;es pipinp <br /> Shower _ Wererheatx <br /> Kilchen s(nk 8 disposal — a�flreP�� <br /> Dlshwasher — aas ranpa <br /> Clotheswasher _ Clothesdryer <br /> � Water heater . ._ Renge bood <br /> Sfnk(servkelbarhnop/etcJ _ Exhaustfan <br /> — Backllow prewnter _ Hnet pump <br /> Udnal Unit heatar <br /> _ Drinkinp Fountein _ Bdler <br /> Floordrain _ Relriperallon <br /> — Grease trap — WO°d�� <br /> � Roof drains __ Other <br /> Other — <br /> qTY OF EVEAETT LOCAL 8IUF8 TA%COOE IS 3106 <br /> I hereby ceriUfy that 1 have read and examfned this appfbation and know the same to be true and cortect. AR provisions of laws and <br /> ordinaces qovcrning this type of wodc wlll be complied with whether spedlied herein or na[.The prandnp o(a permit does not presume <br /> to glve authoriry to viala[e or cancei 1he(xovision ot any other state or local law repulatinp construction or the perfortnence of <br /> cons n.That 1 am autharized by Me owner of thls property to parfartn tlie work for which appieabon Is mede and 1 comply wilh tl�e <br /> State Con /ors law�8,27 RCW ard 200 WAu�� /� f�/�� . <br /> i.��c�� L.�/� <br /> $ re o ne�/ Mractor ho gant � <br /> �QG:9.@ c.l� � 1� � C�c�IrL'tCFL'��Ql� � �Y►K�- -� ('.07�� <br /> ��hfMnK-l� . <br />