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Aug 29 11 09:48a Washinc�lon Water Heaters 4257461553 p.3 <br /> � PERMIT APPLICATION i <br /> . CITY OF EVERETT PERMIT SERVICES '; <br /> 3200 CEDAR STREET, EVERETT, WA 982I!I <br /> � d25-257-8810— FAX 425-257-8657—wuvw.everettwa.org <br /> IAPPUCATIONS ARE ACCEPTED FROM B AM TO 4 PM <br /> SIiEADDRES PA CELTAXI.D. PERMITt� <br /> '' -(/ ��«rc�� �Fc_ �c� �3�o3 �r� a ���oo r�� ,�o� - � <br /> I L[GA LOT NO. BLOCK TRACT OR SUBDIVISION s <br /> D[SC. <br /> ��OW ER /1DDRESS qTV21P PHONE � .J � <br /> �J-�n;� I�I�se2 l�c�,� l'uc,�c� �, � C�r-�H �'��-� at o -s���7 � <br /> 7ENANTNAME �o NTACTF PERMIT� PHONE �j��97�� J�'� <br /> ��/f� I�CCCG ��CZ,YII?.�S E.Ma�halwa-Icvy a/uC �t%� <br /> CONTFi cT N �f1-��/�-lYTJ7••^�) I �IJU ��1L1/ .J 2 W�% �J .07� <br /> cU�s�rrnrcnrdN &�c.c k� �15�8 <br /> CONTR.LI A SE � oP /�elle vcce 1.�a 9�a5 <br /> „ <br /> . USE OF BUILDING HEAT SQURCE I CONTRACT PRICE OF WORK <br /> ,t�-7 �� ( � �I <br /> ��C,l1�vtL+ ��'� _Electric �[ Gas_Other Q <br /> U i -�� <br /> WORK D'cSCRIP'TION �'J <br /> CQ'�Cl,ti-LC�Z (,�l,ti� I <br /> t/�'Q�f°`.i��C�� <br /> PLUMBING MECFIANICAL <br /> NO. 7YPE OF FIXiURE OR fTEM NO. TYPE OF FIXTURE OR 17EM <br /> Toilei NC—air handling units <br /> C3mhtub Forced air systems <br /> Lavatory(wash basin) Gas piping <br /> Shawer .� W�ter heater <br /> Kitchen sink S disposal Gas lireplace <br /> Oishwasher Gas range <br /> Cblhes washer ^ Clothes dryer <br /> �Vater healer Rango hood <br /> S(nk(sen�ice/baUmop/etc.) _ Exhaust lan <br /> _ Backllow preventer _ Heai pump <br /> Uriik�t _ Unit heater <br /> _ D:inkingfountain Boiter <br /> Floordrain � Retrigcration <br /> Grcase Irap _ Woodstovo <br /> �� Hcaldrains _ Olher <br /> I Olher ___ — — <br /> � � -- — — — - <br /> IGTY OF EVEHETT LOCAL SALES TAX COUE IS 7105 <br /> I he�eby ce:itily ihal I have reatl and examined this applicalion and know Iha samc�lo be tme and correct. All provisions ol laws and <br /> c�dinaces govemir,c�this rype ol work will ho complied wilh whether specilied herein or noL The granling of a pennit does not presume <br /> lo�ive authoriry to violato or cancel tho provision of any other staie or local law regulating consiruUion or the pedoimance ol <br /> ccnsUuction.Tlwt I am authorized by t e owner ol th' mperry to pedwm Ihe work lor which application is made and 1 oompy with the <br /> ,3�e m�aclars La 1£3,,27 CW a 296300 W <br /> L�-C,�ut - �Z��'� <br /> � Sig tu c 'ner ontra lAUlhenzedApent Oaio � <br /> �' �--����,� L�e�C-Cc,jf� �11 ��( �'Y �.11�-�i�t-C,/���,F �'E'!{� <br /> �---= � - <br /> �L� Gti``L� 1 L iI�LJ ZL-C- /� <br />