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May (�? 10 11:16a Washington Water Healers 4255726781 p.4 <br /> I <br /> PERMIT APPLICATION <br /> CITY OF EVERETT pERMIT SERVICES <br /> 3200 CEDAR STF:EET, EVEREIT,WA 98201 <br /> .. 425-257-881U—FAX 425-257-8857—www.evaremnr�arg <br /> APPLIGATIONS ARE ACCEP'TED FROY 8/W TO 4 PM � y� �D <br /> SfT�ADDRESS . P CELTAXI.D.ii pbRy <br /> y�►� �� FJ-�-e 5E va `��.�z� �v �o�zc� � �i loo�-�o <br /> LEGA LOTNO. BLOqC iRACiOR3UBMVIStDNR <br /> OESC. <br /> OWNER ppppE55 C17y(ap ry E <br /> 1Ca-c�ern D t�nne!! ��fl� �3'r`�l�ur.SE. --��2�ff �Lt� 33'7— �(Sb7 <br /> TFNAMT NAME I �NTACT F R PEHMR� PHONE � '� � �— <br /> I�lCtc.�' �a.yuu�e„(.s H„�J�otu,�,� au� m� , <br /> c W f#S+�ING�TOn! lur�T�2 K��� I� �a�' S E QY <br /> �°�u�sr-�� 9s� oP ��evue �vQ 9�a, �8 <br /> USEOFBUILDING HEATSOURCE (�►�p�pp��ppyypqK <br /> �rS��,���-Q —Eleckic �Gas_Olher I � ���J <br /> WOAK DESCRIP'T10N <br /> C��-,,�G�e �'L�-- 1 �c�.� W o.�� �' � �-d-� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FlXTURE q?ITEN NO. TYPE OF FlICTUpE OR REXt <br /> _ 7oilet AIC—afrhandfngunifs <br /> _ fialhdb ForcedaVsystems <br /> _ Lavalory(vresh 6asui) _ Gas P�P��g � <br /> _ Shower .. _� Waterheater <br /> Kftchen sink 8 disposal Gas 4repiace <br /> Dishwasher Gas rdnpe <br /> Cldheswasher _ Clotliesdryer <br /> _ Water healer qenge hood <br /> _ Sink(servlcelbarlmop/etc.J , ExT�austfan <br /> � BadAlow preventor Heat pump <br /> ^ Urind _ UnR Aeater <br /> Drimking Fountain Boler <br /> _ Floordrain _ Ret�igaratlon <br /> Grease Irap Waodstove <br /> Roof drafns Other <br /> Olhor <br /> CRY OF EVF-RETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby cen'tify that i have read and examined this appipUon arM know the same to be We and correct All provisions of laws and <br /> ordinaces goveming fhis type of work will be compied wiih whether specified h'arein ar noL The grantln8 af a pennR does roL presune <br /> w g;va authority to violate or cancel the provlsion of nny other state or Iocal lewr repulatirg constnictlon or the perfortnance of <br /> constructfon.That I am authorized by the awner of tt�is pmperty to perform tlie wark forwhich appicafio�Is mede and I wmpty with the <br /> � Slate Conlractors Law tR27 CW arvl 9tw WAC. /f <br /> � ��� `�'z �� <br /> Si N ot Own _ ntractodA orize Agent ate � � <br />