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Oct 12 12 10:02a Washington Wa�C• Heaters <br />� <br />S(�oz �ESk�vCkk <br />CONTR. <br />�^57461563 P�1 <br />L <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMlT SERVICES <br />3200 CEDAR STREET', F.VERETT, WA 98201 <br />425-257-8870 — FAX 425-257-8857 — www•eve�ettwaorg <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />LOTNQ. I BLOCK <br />7�cL ����✓I!'� <br />�,-rar� w�-��. <br />tlSE OF BUILDING <br />�'�stc{E�-I'(r� 1 <br />WORK DESCRIPTION <br />� <br />0�-�- <br />NO. I TVPE OF FlXTURE OR ITE11 <br />Tollet <br />Bathtub <br />Lnvalory (wash busin) <br />Showar <br />Kilchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Waler heater <br />Sink (servicelbar/mep/etc.) <br />Backtlow preventer <br />Urinal <br />Drinking Foun�ai� <br />Floor d2in <br />Grease trap <br />Rouf dralns <br />Olher <br />IPARCEL TAX I.D iF <br />�6���5��i; �.Y�200� <br />7pACT OR SUBDINSION � <br />PHONE <br />�ls <br />e r.� �a- 9�5 <br />NRif <br />a�o-a�a <br />� 2•,� <br />3 S3- Z�� 7 (o <br />HEAT SOUflCE CONTRACT FRICE OF WORK <br />�ctric _Gas_atner �(�� <br />�,�Q c{-�2,e� i�G�.�.� %U2 a-i-P� <br />N0. <br />TYPE OF Fl%7LqE OR (7EM <br />A/C —air handlfng units <br />Forced air systems <br />Gas pipinp <br />Water heuter ' <br />Gas flreplace <br />Gasrange <br />Cbthes drye� <br />Rangofmal <br />Exhaust tan <br />Heat pump <br />Unit haatar <br />Boiler <br />Refriperalion <br />Woalslove <br />07her <br />CfiY OF EVEFEIT LOCAL SALES TAX CODE IS 9f05 <br />I here6y coritify that 1 have read and examined this applica6on and know ihe same to be We and corred. All provisions of Iaws and <br />ordinaces gwerning this type of work wGl bo complied with whelher speciliud heroin or not. The granting d a permit does rrot pmsume <br />to pive aulho�ity to violate or cancet Ihe provision of any olher state or local law regulath�g construction or Ihe peAormanca ol <br />construction. Tha[ I am authorized by the o er of this property to perfor�n Ihe work lor which appicalion is made and I comply with ihe <br />�Sta Con xtors 027 R W and i9 . 00 WAC. - <br />�C�'��( l�l_����� _�- �(}(z-�2 F/l��r���eti���.t. �� st�.ci�.�� � <br />Sjry aWre of OwncdContractod ulhonzed Agent Date `��'�r� ���'u� <br />�I ot�.,a� u� C� ���n r,n ��i �x F�� r�-r-�t�c�c�V �-Ic�rl��� n�u.+ -I� C�tr <br />