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JUL-18-2011 17:I0 FRO�-WASHINGTON WATER HEtiTERS <br />LEOA LO7 NO. <br />DESC. <br />OWNER � <br />TENANT` ��r— <br />�I � <br />GON�A_aA- �CTLOy�^'— <br />WTiV�� 1V�� <br />c��. �r�? ft5f-�'t1 <br />USE O� BUILDING <br />6663TS7A54 T-858 P.V01/001 f-I11 <br />PERMIT APPLICAT�ON <br />CI7'Y OF EVERET7 PERMIT SERVICES <br />3200 CEDAR STREET, EVEltETT, WA 98201 <br />425257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICAT70NS ARE ACCEPTED FROM 8 AM TO 4 PM 7,_.� � <br />WORK DESCRIPTION <br />� <br />NO. � TYPE OF FlJ[TURC- OR ITEM <br />Bathtub <br />Lavatory (wash basin) <br />ShowO! <br />Kitchen sink & disposnl <br />Dishwasher <br />Clothes washer <br />Wator heater <br />Sink (service/bar/mnp/eic.) <br />BacMlow preventer <br />Urinal <br />Drinking founlain <br />Floor drain <br />Greasetrap <br />Roof drains <br />Other <br />Uc/U ��U �( l% ��Vv I PERMIT#J-' L�' L/ <br />TRACT OR SUBOIVISION R <br />Fp( \H PERMR� PHONE <br />V�(M 4I�� E.MAILi <br />vue l,�Q 9�a5 <br />��2-qz3o <br />� <br />HEAT SOURCE CONTRACT PRICE OF WORK <br />�Eleciric ,�Gas�0lher � �(�c� <br />� �- /�a�v� <br />N0. <br />TYPE OF Fl%TUi±E• OA IiEN <br />A/C - air handling uni� <br />Forced air systems <br />Gas piping <br />water heater <br />Gas fireplace <br />Gas rango <br />Clothes dryer <br />Range hood <br />Exhaust(an <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />1No0dstove <br />Other <br />CIiY OF EVEflETT LOCILL SAI.ES 7A1C CODE IS 31Q5 <br />I hereby cerilify that I have read and examined lhis application and know the same m bc true and eorrect. All provisions o1 laws and <br />ordinaces r�overninc� this type of H�ork will be complied wi(h whother specilied herein or not 7he granting ot a permit does rrot presume <br />to�v9 3ulhoriry to viola�C or cancol thq,provi,ion �f sfry o�her state or ioral law regula4ng consWclion or the perlOmtance of <br />constr ction. That I am authorized by,(h� owner ot tpfie�property to peAorm ffie work for which application is mado and I compty wAh the <br />aumonzoo ngem uaie <br />G'� �n �%� �i L�n��-`7�i����� <br />