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Nov 21 11 1125a Washingtcn Water Heaters 4257461563 p.1 <br /> ,/� <br /> 7✓ <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVEFiETT, WA 9t�201 <br /> 425-257-8810— FAX 425-257-8857—ww�v.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 Pld <br /> SITEAI��S / r� _ t C �• PArJR_CELTAXC.# ) PERI�i#�l, <br /> �� J <br /> LGGAL LOT NO. [SLOCK TRACT OB SUBDIYISION p <br /> UFS0. <br /> OWNER ADDRESS CITY2IP PHONE <br /> (�ir'��r� l�l�v� (��'l� Dlz. S�. F_ve�1-.-N- �.�c�� y�s �G isb> <br /> 7FNANT N I ONTACT FQ'(\R PERMIT� PHONE (16'y7�� J S� <br /> � ` � I�l�.l-Cif V.JWf L�i�IS E-MAIU�UI�(������yt czc C aJr��»" <br /> �oft1ASH1fUGrTO� W/�iE2Y-��� ess fc�jU 'U�tCu'_,S i rrziP PHONE . UU'J��� t0� <br /> CONiFi.LICENSE �C �� J �i✓v" <br /> r,u�s�;� q� oP !'a�ll�i�cce I,IJQ 9�r�c� — <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> •�5����`l�(� d _[leclric �Gzs_Olher � �� ��� <br /> I r � � <br /> WORK DESCAIPTION <br /> � ��c�,f-��: az�,� ( ���� u�c�:�-�a� E��.? ��-���_ <br /> PLUMBING tdECHANICAL <br /> � NO. TVPE OF Fl)CTURE OR 1T[M NO. TYPE OF FIXTURE OFi ITFM <br /> Toilet A!C—air handling unils <br /> [3a�htub Forced air systems <br /> Lavaiory�(v+asl�basin) Gas piping <br /> _ Showcr �„ Water healer <br /> Ki(chen sink&disposal _ Gas fireplace <br /> Dishwasher Gasrange , <br /> Clolhes viasher Clothes dryer � <br /> Water heater Range hood <br /> � Sink(service/baNmop/etc.) _ Exhaus:(an <br /> Bacl<liow preventcr Heat pump <br /> Urinal � Unit heater <br /> �rinking Founiain - _ 6oiler <br /> � Floor drain Refric�eration <br /> Grease trap . _ Woodstave <br /> Ruof drains Olher <br /> Othcr <br /> CITYOFEVERETTLOCALSALESTAXCODE153Y05 ~ <br /> I hereby cerilily thal I have mad and examined[his appGcaGon and knowlhe same to be true and wrrecL All pmvisia�s of laws and <br /> ordir.aces c�overning ihis rype of work will be complied wilh who[herspecified herein or noL The gran6ny of a permit does not presume <br /> to give au:horiry to violate or cancoi Ihe provision ol any other stale or local law regulat�ng conslmclion or the�ertormanco of <br /> construction.That I am authorized by ihe owner of ihis property to pedorm the vrork tor which application is made and I comply with the <br /> State.Caat clors La�v�18.27 R%W and 62� l 1 � �l �lll . <br /> t.i( <br /> Signa e ct wner Gonlractor/A horizod Agen[ Date <br /> �'�t'� u�-� �.� �� ��c �crn-t�-cLc��,-��r�1 ,Q��n�c.� -�; �'��+f�c � <br /> � �-;I�c;v�n�.i.���l <br />