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A1ar 27 10 05 47a V�'ashin�t�n lNater Heaters 4255726781 �q <br /> l <br /> PERMIT APPLICATION <br /> i CITY OF EVERETT PERMIT SERVICES f <br /> � 3200 CEDAR STRE[T, EVERETT, WA 982D1 <br /> 425-257-8810—FAX 425-257-8857—wwv�.everotriva.org � <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 P�d Iv I <br /> 3 a�- <br /> I SITE ADDRESS n PARCEL TAX I.D.A PERNIT fi � <br /> I -790 oLTFti113CVuYGI-� bb(ou3�7G`UCX>f�70D ��p3-Dy5' _ I <br /> LEGA LOTNO. OLOCK TRACTORSUBDIV7SIONN <br /> �[GC. . <br /> � OYlNC-H ADDBESS I <br /> � ' / C�TY21p PHONE ��� <br /> I �f1��reG�� /2{CIC���t'c� 7`IU �,�Ti�zYb�'r�1�C/� ��r;.PH9yZa3 .iL�7-�/Y53 � <br /> T[11ANTIINIL �0_�NTACT FF1\R PERMfT` PIiONE Q�'C''7Si-�SY � <br /> C�tT7An11CClnqn / ] n �// I �+�^-Llii VJl�t.1{��L'J E-IlNU10/jG�(2.TL/��/ U?,L � Wl I� <br /> W71vff�/VVl�� �U�I��C/�-fY�� DflE55 / Ap.J�U� �C/.�[li'lCCP .S'/i�V21P I�ItON[ �ifit�l,'�iy� �� <br /> CONiR.IlCENSE Ou-L TL I� M1[J w /O <br /> r,{,I�,S(-�tC� 9�� D� /�ellev,:ce �l%Q 9�a5 �'�� <br /> USE OF BUtLDING I HEAT SOUflCE CONTRACT PRICE qF Y�OHK <br /> y L�c�,1�C��P��I���Ll �Elec;ric �,,as_Olhcr � ��v !Y� <br /> �YORK OC-SCHIPTION -- <br /> � �:.l�c���c�c C;i�f 1 ���_S L�a.d��-hacc..k�✓ � <br /> PLUMBlNG MECHANICAI <br /> NO. TYPE OF Fll(TURE OH ITEN NO. TYPE OF FlX7URC OR ITFAS <br /> _ l�oilel NC-airhmidlin units — <br /> _ f3nthWb _ f'vrcntlairsystems <br /> I = Lavalory(wvh 6asin) Gas piping <br /> I Sho�cer � VJatcn c�atrr <br /> � Y.ilehen sink&disposal _ Gas fireepiace <br /> i o+snwasner <br /> , Clothes washer _ Gasran9e <br /> � YJa(cn c�atcr ClMhes drycr <br /> I — _ Rnnc�o hood <br /> _ Sink(-erviceJbadmop/etc.J � Ediawt lan <br /> _ Oackllowprarentcr Fiea�pump <br /> -- Urin:�l _ Unit hc�ter <br /> _ Drinking I°ountain 13oiler <br /> _ Floordrain — Relrigeiadon <br /> _ GreasC Irap VJoodstovc <br /> _ Roof drains —_. p�ner <br /> Othcr_ �-I — <br /> i __ CITY OF flV8qE7T LOCAL SALFS TAX COOE IS 3ID!i <br /> � 1 liereby ceriGly that I fiave read and uxamined�bis appticalion and know Ure same Io be trun,and correcl. Ail provisionc ci lav:s anA <br /> ordinaces goveminp Ihis Iype ol wrork will L•e complied wilh Hhether spetified herein or not.'ihe�ranSing ol a pemil does nc1 preswne <br /> to give authorify to violale or cancel U�e provision of any other s��te or loql law repulatir.g�nslniction or the perfonnun-,e of <br /> C strvclioa Th�i I�rn au�jiorized qy the o�mr.�ollhis prope�ry to peHorm the work lor which applicafion is maCe and I comply wipi rtm <br /> � S��ie .on�r���q �]/`j�1 W an �R 700 VJAC � ��'�� <br /> I <br /> -�c. i�4 �j,l <br /> i aturc ul OwnodC mraclorblui ionzed Ageni Uaie � <br />