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Od 09 10 02:31p Weshington Water Heaters 4255726781 p.3 <br /> � � <br /> PERMIT APPLICATION <br /> CITY QF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERET7,WA 98201 <br /> 425-257-9810-FAX 425-257�857-www.everettwa.org <br /> APPLICATIONS ARE ACCEPTEO PFiOM B AM TO 4 PM � <br /> SREADDR64S PARf�I.TAX1.D.i PERAIIT! � <br /> —76 Ob(�o3 b00U0�Oc� IO-0 <br /> LE LOT NO. BLQCK TAACf'OR SUBDIVI910N R <br /> DESC. <br /> OWNEfl DRE55 <br /> �.��S ��t.r�l�►�,u.e.r �8�i7�ubuV��(! �nr.c f�f��N ''f�v3 `�z��r?v�/ <br /> TENANTNMIE �ATACTF PERMfT� PlIONE QO'�� <br /> I�JGf.Cu �a.tu�s E«A.hoiwa.� ou� <br /> w�s inr�,rar� cv�-r�-w� l�a c�.w s a�97g— <br /> `�""i;u�l+��� 9SsD �P �vu� l.�a. 9�a5 �5�8 <br /> USE OF BUILDING /� NEAf SOUpCE CONTRACT PRICE OF WOpK <br /> �� ��,ltiv� ( KY _Elecfic �f,as_Other � + �(j� <br /> WORK DESCPoPTION <br /> e:l,'lL'l,��C �?�l�" � �J (��,�f,✓(tiQO��l:l/� <br /> PLU111BIN(i CM ICAL <br /> NO. TYPE OF FDITUpE OR ITEII NO. TYPE OF p7fT17RE OH IiBI <br /> Toilet _ A/C—airh0ndling unNs <br /> � Bathtub _ Forcad eir systems <br /> Lavatory(wash bastn) Gas pipk�p <br /> _ Shower � WaMheatar <br /> Khchen sink 3 uiap�;xl Oas Iireplece <br /> Diahwasher pas rarge <br /> Cbthes prasher � Gothes dryer . <br /> Water heater Rnnge hood <br /> S6de(servicelbaqmopletc.) Exheus[fan <br /> BacMlow prevenler Heat p�rtnP <br /> Urina{ Unit heatar <br /> Drinking FouMain Boilar <br /> F7oor dnfn RetAperation <br /> Greaze trap Woodstove <br /> Haol dra4�s Other <br /> Other <br /> Cf7Y CF EVEAETf LOCAL SALES TW(CODE IS 31M <br /> I hereby ceritity thet I ha�e read end examined Ihis application and know Ihe sane ro be true and corteG. Att provisions ol lavrs and <br /> ordinxes governing tMs type of work wlll ba compted wAh�er spec�ed heran or noL The prmRtg d a penMl does not presume <br /> ' to g'ive aullwrity to vi:�late or canc0l tlre provkton M arry other stata w looal law regWetlrg corrtn�clion or tha pwfortnance ol <br /> oonstrucHon.That I am aulhorized by the q�mer ot this p ery to perlarm the work tor which eppiicatlon Is mede aM 1 compty vritli the <br /> S ractors Law�18.2 H �/6�200 WAG � <br /> ;u�,u,�, `, j v -�-1 U <br /> � a a+ner/CaiVaaor/Aulh �fi Ayent ete � <br /> L <br />