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Feb 22 12 07:30a W�shington Water Heaters ^^57461563 P•� <br />PERMIT APPLlCATION <br />CITY OF EVEREIT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETI', WA 98201 <br />425-257-8810 — FAX 425-257-8857 — innvw.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�� � <br />0 La 27'`�' !�-G� � <br />LEGA LOT NO. BLOCK <br />DESC. <br />OWNER <br />�'�51'U ��u �iUr�1 <br />TENIUiT NAME <br />c W f�5►� iNGr�d � l�lli-iE2 Yf� <br />CON7A. LICENSE p _ �„ _ � n <br />USE OF BUILDING <br />r�s�den-��a� f <br />WORK DESCRIPTION <br />C <br />PARCEL TJUC I.D. �t <br />z v i <br />TRACT OR SUBDIVISION Y <br />��(U�a 2 /�'Azu SC <br />��ACT F R PEHNIT� <br />Cci ��u�c�ls <br />NO. I T'PE OF fl%TURE OR ffEM <br />Toilet <br />Bathlub <br />Lavatory (wash basin) <br />Shower <br />Kilchen sinn & disposal <br />Dishwasher <br />Cbthes washer <br />Water heater <br />Sink fservicelbar/mop/etc.) <br />BacM�ow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Greasc lrap <br />Roof drains <br />Olher <br />PNONE <br />Z-�Z--►Z <br />PERMIT # <br />Yl } �U"1- �'�,. <br />10NE J <br />� !'n3Z <br />�6- 7f1� r 8'$- <br />fi,�d�yYyou L G <br />&u.t �C F1 '- ��(a <br />%d2-�lG(!UL /.!%CL �I�1� <br />HEAT SOURCE CONTRACT PRICE OF WORK <br />Electric ! Gas _ Olher �( LC.. �J <br />� ��� (�JG�:�i°� i1� a-�2,� <br />NO. <br />TYPE OF F11(TUflE OR ITEM <br />A/C—airhandling units <br />Forced air syslems <br />Gas piping <br />Water healer <br />Gas firepiace <br />Gas range <br />Clolhes dryer <br />Rangehood <br />�haustfan <br />Heat pump <br />Uni[ heater <br />Boiler <br />Refrigeration <br />Waods�ove <br />CITY OF EVERETT LOCAL SALESTAX COUE IS ��OS <br />I hereby ceritify tbat I have read and examined this application and know the same lo be Vue and conQct. All provisbns of laws and <br />ordinaces governing this rype ot work will be complied with whethor specified herein or nof. The granting of a permit dces not presume <br />to give authonry �o violate or cancel the provision of any o her stata or local faw regulating construction or the pedormanca o1 <br />con ' n. That I am autliorized by the o�ner oi Ihi arty to perlorm the vrorh for which applicalion is made and I comply with the <br />. atc Conu ctors Law 1&27 CW and �200 WA� �y <br />l\ ! 1 ' � ��� C'.�iZ.2�'�Uv\G:.t�. LY S•l�K: CLi7Lj 'E'J <br />`"L n 1- i� <br />Si naWi of Owner/ContractodAuih rized Agent Date `.�'��'�� � <br />P(o�� us-� G� lv-�S� r�n�il� FiN c� ��t�c� �-la�l�r���iiu,`� -� Ca�r <br />