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JUL-19-2011 17:09 FRO�-WASHINGTON WATER HEATERS <br />� <br />LOT NO. <br />866375745A T-857 P.001/OD1 F-110 <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 982�J1 <br />425-257-8810 — FAX 425-257-8857 — wuvw.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM e AM TO 4 PM <br />II�IIY IVf� <br />W �15}�IIUG1TDAi �.lff`�E2 <br />CONTRA ) �5�� G%^m OI <br />X IJ <br />USE OF BUILpING � <br />f-A S.� �7� <br />WORK DESCRIPTION <br />PARCEL TAX I.D. # <br />U Z JC(� <br />TFiACT OR SUBDIVISI OiV ,Y <br />« q�o <br />2� �-��e s� <br />1CT F H PERMIT� <br />!1 GU'l(�S <br />e uG l,�a- 9�a5 <br />'7 " � `"I / <br />PEqMR A <br />�'I�/D 7-43 <br />10NE ^ <br />3 27 2.�33 <br />HEATSOURCE CONTRACTPRICEOFWOAK <br />Eleclric �as _ Other � �% 2•� 7 <br />� � U�C��� ��� <br />NO. I TVPE OF FlXTl1RE OFi ITEM <br />Bathwb <br />Lavatory (wash t�asin) <br />Shower <br />Ki�chen sink & disposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/bar/mop/etc.) <br />BacMlow preventet <br />Unnal <br />OrinRing Fountain <br />Floor drain <br />Grease Uap <br />Roof drains <br />Olher <br />N0. I 7YPE OF R)CTURE OR ITEIA <br />a/C — air handling units <br />Forced air systems <br />Gas piping <br />Water hBater <br />Gas IireplaCe <br />Gas range <br />C�othes dryer <br />Range hood <br />Exhaustlan <br />Heatpump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstova <br />CITV OF EVEAE7f IOCAL SAI.ES TAX COOE IS �f 05 . <br />I hareby ceriGty tha[ 1 have read and examined lhis applical(on and know the same [o be lrue and correct. All provisions of laws and <br />ordinaces qwerning this type of work wi�l be compGed with whether specified herein or not. The granOng of a par�nit dces not presume <br />to pive auth:ority to violato or cancol the provision of any other state or tocal law regularing construction or the pertormance oi <br />construcilon. That I am authorized by the owner of this properry to periorm tho work for which apptication Is madc and I comply with the <br />