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Mar 21 12 10:02a Washinglon Watar Heaters 4257461563 P � <br /> PERMIT APPLICATION � <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,\NA 98201 <br /> 425-257-8810-FAX 425-257-8857-�nnvw.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM 3 `- �'I - I� <br /> SITEAD�RESS �� PARCELTAXI.p.# PERMITp _ <br /> � _ i l�' , - % L�G�`il/UCj � 2tJ.j-(� <br /> LEGAL LOTNO. BLOCK TAACTORc���'^"�'c'^•"' I <br /> DESC. ,. � . i v v <br /> OWNER ' ADDRESS CITY2IP PHONE <br /> , �{1srry l� v �n Syl 3 !�E� /�}u�r i�.��r�� t,vA. �i�'2�D3 _ y�S'•�}�6G-CV�- 3S <br /> TENqN NAME � ONTACT FQ/\R PERIAIT� PI10NE�OV'I�0�/`05�O _/ <br /> � `a /�7-- // `,� I�ltiCl�( V..J�,1 G{LIJ E•MAIU/UIwQ,���7 � �C/(.�1 <br /> CONTR—A-5'OFi l�SI/I I G/�-�1���ADDRESS / r7VU U2ClY s'/�I 2{' PHONE ifA���,y�, Ol� <br /> Wf�S�fINU�� p^ , i. �ri io <br /> COt7TR.IICENSE O�C �� ��� <br /> r,u�Sr-�� ��o �P P�G��vuc i,v�- 9�'U a 5 <br /> USE OF C3UILDING HEAT SOURCE CONTRACT PRiCE OF VJORK <br /> }`/� S7 ��n�j� � I _�lectric �Gas_Other 9 L/� G� <br /> � � l <br /> WORK JESCRIPTION � <br /> (, `'1G�,� � Oti�l.�' � G-�a S il�G�:�I2°�d� �'V2 �� , <br /> PLUMBING MECHANICAL I <br /> NO. TYPE OF FlXTURE OR ITEM ND. TVPE OF FIXTUR[OR ITEIA <br /> Toilet _ NC-airhandlingunits <br /> Ba1hNb Forcedairsystems . <br /> Lavatory(wash basin) Gas plping <br /> Showcr Waterlieater � <br /> Kitchen sinh&disposal -� Gas fireplace <br /> Dishwasher _ Gas range <br /> Clolhes washer _ Cbthes dryer <br /> Water heater _ Range hood <br /> Sink(scrviccroar/mop/etc.) _ Ezhaust fan <br /> Backllow preventer _ Heat pump <br /> Urinal _ Unit healer <br /> _ Drinking Fountain 6oiler <br /> Floordrain _ Refric�eration <br /> Grease trap _ Woodslovo <br /> Rool drains _ Other <br /> Oiher — — <br /> _ --- — 35 vo <br /> CIN OF EVERETT LOCAL SALES TA7C CODE IS 3105 <br /> � I hereby ceritily ihal I havc read and ezamined this appiication and know the s�me lo be true and correct All provisions ot lativs and <br /> ardinaces goveming ths type of work�vill be complied with whether specilied herein or not."fhe grantin3 of a permit does not presume <br /> to �ive authority to violate or cancel the provision of any other slate or local law regulaGnc�conshucUon or the pedormance ol <br /> canslruction.That I am aulhorized by lhc owner of Ihis property lo pedorm[hc work bnvhich application is made and I comply H�ith the <br /> Sta Conl2ctors Law 1kS.27 flCW and 296.200 WAC. <br /> �C�i� ati-'�'�1��a-1 �- /�� (a ����������-� ��r �i��: cc��,� ��� <br /> '� S�ature of wner/Gontractor/A ionzed Agent Dale �-Gy1:��fC��:.�Y `T'�� <br /> �7.'Kl'r li <br /> ',�l���� u�-e C� �4��� c�n ��r_ C�crn-t-�c(v��a�l�i��r��u,�- -�v C�'N� <br /> - �-r��c,s�v��-��a�,� <br />