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Jul 12120L07p Washington We�erHeaters a°57461563 1% 1 <br /> ----------I-- _ . <br /> i PERlUIIT APPLI ATION <br /> � CITY OF EVERETT PER IT SERVICES <br /> � 3200 CEDAR STREET, EVER -TT, WA 982C.�1 <br /> I425-257-8810—FAX 425-257-6857 www.eve:ethva.org I <br /> � APPLICATIONS ARE ACCEPTED F OM 8 AM TO 4 PM ��.� 3 —�Z � <br /> ISITE AOORF /i-��j{-F'+ I� PA/p�CEL TA I.D.S �7� I PE-�RMIT 0n T� <br /> Z� � V O � �'� � �1.O� 5���^ (i'wi�V <-u� _�__L '��U T -l./�� � <br /> � LE:iAL LOTNO. OLOCK 7AACTORSU80NtS10 tl <br /> IUGSC. <br /> UWNER � AUURES9 CfTY21P �MONF. ��J-- I <br /> _ 1�-I cc wu—nt� - ---z�z (o��' s� �i�.e��-� 9�t�, ; y3-7�'-�� <br /> I TGNAN7 NAME ONiACi F, R PERMI7 <br /> vnor,t�GO'�! 7h`'�SYc�� <br /> I ��'Ti�nc o — �� I `"G"��2t �`5 I e-�ua�l0�l11(L�fi'�/fJL[ �-4%1 �� <br /> WI�Sffl11lC�ianl 6vAie2Yd'�4►�� I 0 �ttir S P ''� Q�-��,' Aycm� <br /> f.ONiA.UCENSE ' ��� � � I <br /> � r�s1��`l�v a P /'�ll ��cc� iva 9s�iv� ��"� <br /> � USE OF 6UILDING � HEAT SOUR E I CONTAACT Mi10E OF\YORK <br /> � --I�rr� I � , <br /> ���j�/,�/.l�l� _ � I _Electric Ulhcr I �/� �� ' <br /> V <br /> WORK DGSCRIFTION �. <br /> � - <br /> � � I�c���-��. oz��- � � c�������� �� �.�1� <br /> PLUMBING MECHANICAL I <br /> ��• iT'PE OF R)[TUqE 0917LN NO, TVPE OF PIMURE OR�iEM <br /> I _ 7cilnt /VG-airhandl;ngunits <br /> ___ Balhtub � Forced eir systoms <br /> ___ Lav�tary(wash basiv) I Gas pioing <br /> _ Snu�uar � Waterhealer <br /> I ._ Kitchen smk 8��spnsa� Gas lirepincc <br /> � __ O�shwashcr Ges runge <br /> ___ Clolhr.swasher ClathrsJrycr <br /> _ lNaier heater R�nye hocd <br /> i = SinX(serorr.'bndmop/rnc) � Ediaust lan <br /> Oackliow pieventer Hcat pump <br /> Un�al Unll hoqle- <br /> OriN<Irg f�unmin Cio(ier <br /> i __ Flaor dr,iin — qelnporalion <br /> I -- Grease tmP Wocd�ove <br /> _._ Rnoldrains — Olher � <br /> 011ier — ------- <br /> —_ - _. _-___ .. _ — i <br /> I "_ _ --___'.—_—. <br /> � ______ _ _CIiVOFEVEpFTTLOCALSALESTAX�.ODE153105 <br /> I Pereby ceritlty Innt I have read end examined Ihis app��u-�U'on nnd know the sa, to be t�ua and corteq. All piovisions af iaws end <br /> Io:r„nnces qoveminy lhis type of viork wfll be complied with wFu�!her speClfied fwi in or not.Tho granting of n permll Cces nol�xesumo <br /> �:Gvu autliordy lo viofale or cancel ipe provisinn rf any ol. ��tate or loral Ww r gWatin�conslrucCon or the pedortnnnce ol <br /> r:;nsyusNa.r..That I am auttx�nzed b��O�e ner ol lhis p rty lo pedorm tlir wprk}or wtiidi applicatlon Is mnde and I canply wilh Ihe <br /> � Stal�Conir.c1orS L���� aid 9 200 N'AC. : . <br /> r -7 <br /> � /-r7,/7 ��i.t�:1t�[�{'t'!.�Ll.k- Gi� 5'�_�((,t:';,� �I(',: <br /> � . �gna� r /�IOwnevCunlracfod othorizo gont �------/� --�8 c L CG;J�lt.ti.Y �:-:ti�.� I <br /> �)�)���ri-�� ��f` �•�.J li' �'��1��`� 1� I�JI l. V 1 f l � LI�IV��-��.�l�J3i���11�1..�� ��1 l��Q��11L1 <br /> 1{`1(/vt�l��_IG't4:� <br />