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AUG-31-2�12 12:21 FRO�-WASH'NGTON wATER HEATERS 6663i57d54 T-811 P 001/001 F-IB6 <br /> PERMIt APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES � <br /> 3200 CEDAR S7REET, EVERETf,WA 90201 <br /> 425-257-8810—FAX 425-257-8857—www.everettwaorg <br /> APP�ICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRFSS PARCEL TAX I.D.S PEqfdIT i! <br /> 3 0`� �i r�2, �w-t p G 52G�GOC�O I�bO f��, � <br /> LEGA LOTNO. OLOCK TRACTORSl160M310NA i <br /> D[�C. <br /> JWNeH ADDIiESS CITY/LIP PlION[ <br /> C�C(C.1,�. ��1'ru,� ,�g���uubT [.L'�1LL-� Gs�( 2� 2-l3�"`,� <br /> TENANTNMIE NTACTFQ Rf'EFtMfi� <br /> (\ PNONE ((Q'y'� ' 8' <br /> CON AC }.! �QIU VJ(MZILIS . EMAIUIU/ZUQ,7U�7 OLC ��I� • <br /> WPrSNIN(�TO� W�I �G21�i� I�p'0. / c�cv- S � `' ��� orn <br /> CONTA.UCENSE a�'�'� 7C� � �Yt�-"�� <br /> u��tsr-�i��- 9��D OP /�ell�vu� GUa, �ISvaS <br /> USE OF 6UILDING I H�AT SOURCE CONTRACT PRICE OF WOR�C <br /> r'��L.7�V`I..�t 1�'�/l.. l I �lectric _Gas_Other I �C�J ' <br /> WORK DESCqIP710N �� <br /> C ��,¢ � C�-u,� I �P.��2,eJ��a.-i� ��ti2a-�,� <br /> PLUMBlNG MECHANICAL�I` <br /> N0. TYPE OF FlX7UpE ON REM NO. TYPC-OF FlXTUP�OR ITEM <br /> _ Tollel s A/C-airhandling unit5 —��— <br /> Baihw6 Foreed air systems <br /> _ Lav�iory(w�sh basln) Gas qping � <br /> _ Shower Wa�crheater � � <br /> Kitehen sink 8 disposal Gas fimplaco <br /> � DisMvashct Gos range <br /> Y Ctotheswasher Clothesd or <br /> � Wa!erhealor _ Rangehooryd <br /> _ Sink(serviceJb;ufmop/etc.) Exhaustl8n <br /> 6acMlow preventer Heat pum ' <br /> � Urinal ` UOi[hcatCr <br /> � �rinklnp Fountain ,_ Boiler � <br /> � Grease tra � Refrigaration I <br /> _ ROoI dr.vns = p������ � <br /> Other _ ' <br /> CITV OF EVCREIT LOCAL SALCS TNC CODE IS�105 <br /> I hemby contlty that I have read artd examined Ihis appGcation and know ffie same to ba We and cortect. All provisions of laws and II <br /> onlin�ccas gweming ehic typo of Krork will�u compliod with wheU�or specBied hemin or noL Tho grantinp of a permit does not pmsume', <br /> � to flive autnoriry to vloiate or cv�eel the provision of any other stato or Iowl law re9��ating eonstruction or the pertormance of <br /> co ciion.That I am aulhorizoC by Iho owrar ol Ut' plc+perty to pr.domt the vrork tor whieh appliration is made:u�d I comply with the <br /> Si tr C mra ,�iilaw i827 RC� W� a d�96200 W . �� � h ^ .. , s �. <br /> �. �f/I� �, Y/4� C�.ai-•64��aat-L� ci'' ���X CC�r, .F`J I, <br /> Si �of OwnoUConlrapodAulhOf eti d Apen[ Dato �•���EZ'� Z"'��� i <br /> n <br /> L�'I�(� u�� C� 1�Y0 �>n fi l��r Co-n��C�c(v��lail����r'n1� -�C; Ctrr�r� � <br /> -t'hcwt�-i,��,! ; <br />