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Dec 13 10 01:21p Washington Water Heaters <br />4255726781 <br />PERMIT APPLICATION <br />CITY OF EVERETf PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />p.1 <br />� a � i� --�v <br />APPLICATION3 ARE ACCEPTEU FROM 8 AM TO 4 PM �/D/Z-��' <br />SITE ADDRE55 PARCEL TAX I.D. # PERMIT # <br />t Zz�z zz�� �� S� o��n Ubor�9oo <br />LO7 NO. <br />TENANTNAME <br />CONTA. <br />BLOCK I TRACTOR <br />Jl�'/�iD�1 6tlA i C-2 <br />USE OF BUILDING <br />I�Z' ��ti�ZCL..Q <br />WORK DESCRIPTION <br />1 zSiL <br />F((�\R PEpMR` G `10NE <br />VJLtA4ICiiS E-MAIL� <br />, ,�- <br />� ccc GUQ 9�ia� �5�8 <br />HEATSOURCE <br />_ Eleclric �Sas _ Other <br />CONTRACT PRICE OF WORK <br />j Z U'7 <br />C�-Gt-�-� G�� � o�,L� � �� '' ��-�l <br />NO. I 7YPE OF Fl%TURE OR ITF.M <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />K�tchen sink 8 disposal <br />' Dishwa,her <br />Clothes washer <br />Water heater <br />� Sink (service/badmop.�etc.) <br />� BacMlow preventer <br />Urinal <br />Drinking Fauntain <br />Floor drain <br />Greasc Irap <br />Root drains <br />Other <br />NO. <br />7YPE OF FIXTURE OR I7EN <br />NC—airhandling units <br />S orced air systems <br />Gas �iping <br />Water heater <br />Gas fireplace <br />Gas rango <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heat pum� <br />Unit hoater <br />Boiler <br />Retrigeration <br />Woodslovo <br />Other <br />CITY Or EVERETT LOCAL SALES TA7C CODE IS 3105 <br />', I hereby ceritify Iha1 1 havo iead and examined Ihis appllcalion and know th� samo to be true and correcL All provisions at laws and <br />� ordinaces c�oveming Ihis rype ol �vork will be complied with whether speci(ed herein or no4 The granting of a permil does not presume <br />� to give authorily to violato or cancel the provislon ol any olher st�to or local la�v regulating construction or the peAormance o1 <br />consWction. That � am aulhorized by ihe owner of Ihis property to perlorm the w�rk for which application is made and I canply with the <br />L�— — <br />