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Dec 17 11 01 1Ap VJashington Water Heaters <br />SITE ADDRESS � <br />1.E�4' OTNO.� <br />DHS�----- <br />OWNER <br />x�l/ cn.�es <br />T[NANT NAIAE <br />cGUfl—�Srt� GTO� <br />CONTH. LICENSE yI _ <br />4257461563 P � <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEOAR STREET, [VERETT, WA 98201 <br />425•257-8810 — FAX 425-�57-6857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FRONi e AM TO 4 PM <br />z4 pl .SF <br />OLOCK <br />_ I %L <br />l�uA"���2 �/EF <br />y�n OP <br />USE OF BUILDING <br />r�s�de.�-�(C� l <br />WORK DESCRIPTON <br />� <br />NO. I t VPC OF RXTURF. OR ITLM <br />_ i oue� <br />Oa4�1•.ib <br />�.— Lavatory (wasli blsin) <br />Shower <br />Kilchen sirJi 8 disposal <br />Dish�vashcr <br />Ciotnes washer <br />_� Wa�er hea�er <br />Sfn'+ (scrvicefUar/muu'�tc.) <br />Backllow preveNer <br />Urinal <br />Drinking Pounlain <br />flooi diain <br />Grease trap <br />Rooi drains <br />_ O�hcr _ <br />I PARCEL TAX I.D. A <br />C�U �.� %�i DG�C'OC � 3'L'D <br />TAACT OR SUBOIVISION A <br />�i�f.�i��14 �'r�'� <br />YTACT F R PEREAIT,_ <br />Cci �an, �-Is <br />cvc�c �va 9sva5 <br />HFJ1T SOUflCE <br />, Electiic _ Gas,_ Other <br />-� l� <' hti�c,- <br />PER611T # <br />�1LiJ.�.` a� <br />HONE -Q(r; • , � <br />/G,..77 <br />fd—q7� <br />�,�ra-lr��yycu � <br />:ONTRACT PRICE OF WORK <br />� �Ic► 9 <br />� / <br />u�a��� �� <br />NO. I TYPE UF fl%TURE OR ITEM <br />A/C — air handling unils <br />Forcecl nii syslems <br />Gas piping <br />Water hoatm <br />Gas lireplaco <br />_ Gas rarge <br />_ Clothes Oryer <br />__ Rangehood <br />__ E�haustlnn <br />-_ Hoal pump <br />Uni1 heater <br />�ailer <br />Refrigcralion <br />Woodslove <br />� CITY OF EV[HETT LOCAL SALES TAX CODE IS 7105 <br />I horeby ceritily that I have rr.ad and examined this applicaUon aini know the same !o bo Vuo and corroct. All provisbns ol laws and <br />ordinaces poveming lh��s NPe, ot work wiil be compl�eC wi:h whoiher speci8ed herem or not. The granting of a porml; dces not presume <br />lo give authoriry lo vioLi�� or cancel Iho pwvision ut Y other slale or Ipcol law reguliting conslruc6on or tlw peAormnnce a1 <br />croslrucliqn. Thal I am authorized by tt�e ormer ol� � property lo periorm Ihe work lor which applicolbn is mado and 1 comply with thu <br />State Con actors Law 1&27 RCW a tl 296200 WAC. <br />'!�"t,f C ( �,C � /�.C�c� �-.> r � �7—l� <br />_ _ -1 _ ---r-- .. . <br />I(L�(' US� C�� IVl! <br />� <br />=�-Ir �1 Per►� -fv <br />� <br />