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JUL-19-2011 17:1i FROMhWASHINGTON WATER HEATERS <br />SITE ADDRESS �` <br />Q�� <br />LEGA L07 NO. <br />DESC. <br />OWNER <br />� -� G(JOr�� <br />TENANI' NMAE 1 <br />/ v /�' <br />CONTR. <br />8363T57454 T-858 P.001/001 F-112 <br />PERMIT APPLICATION <br />CITY OF EVERE7T PERMIT SERVICES <br />3200 CEDAR STREET, EVERE7T, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — vuww•everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM i0 4 PM <br />BLOCK <br />�ao q 35_w� <br />vl�� w%�'��y%�� `-'-� <br />USE OF BUILDING <br />WOAK D�SCRIPTION <br />. <br />C,v ��1C� <br />TA7( I.D. it <br />. <br />� <br />�� <br />�a�--If <br />PERMR 8 <br />� PHONE `� G� � <br />�o?e d6-�9�� <br />vue l,�Q 9�a5 <br />HEAT SOURCE CONTRACT PRICE OF WORK <br />�Electric _Gas_Other I � G( j�� <br />�'� I ���'c,{,�i'�C�C� Gf��4� �! u.-!.�/� <br />NO. � TYPE OF Fl7CT�IHE OR ITEM <br />Toilet <br />Bathtub <br />l.avatory (wash �acin) <br />Shower <br />IU!chen sink & disposal <br />�ishwasher <br />Clolhes washer <br />Water healer <br />Sink �service/bar/mop/etc.) <br />�acMiow preventer <br />Urinal <br />Drinking Fountain <br />Floor dta�n <br />Grcaso tr.ip <br />Rouf drains <br />Othor <br />NO. I TYPE OF FlXTURE OR RL•M <br />A/C— air handliny units <br />Forced air systems <br />Gas pfping <br />Waler heater <br />Gas firep�ace <br />Gasrange <br />Clothes dryer <br />Range hood <br />Exnaustfan <br />Heat pump <br />Unit heatar <br />Boiler <br />Reirigeration <br />Woodstove <br />Olher <br />CI7Y OF EV��E'�T LOCAL SAL�.S 7AX CODE IS 9105 <br />I Irereby ceriilty ihat 1 have rend and oxamined this appl(c2tion and know �he same to be tme and correcL AII provisions o( laws and <br />ordinaces govuming this !ype of work will be complied wltb whether specified herein or noL The graming of a pr,rmit does not presume <br />to give authoriry to violate �r cancel the pmvision of an her stF�le or IoC31 law rcgulating constNetlon or the perto;mance o( <br />consiruction. Thal I am autnorized b ibe owner ol thl p perry to peAartn the work tor which eppl'rcation is made and I comply with tM10 <br />5/tat traMors � 18. % RC d 296.200 WAC. �� <br />� �.� �71 q � <br />Sig re IOwnal ntraC n uthorizedAgont / �� Date , i�,�!/„�./ /� <br />]P /,U�a� 1� �`i � � �u ,/�'l1/ `r,�v (N"'� � G <br />