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Sep 0� 11 03 a2p Washin�ton Watar Heater, 4257461563 P� <br />I — - <br />PERMIT APPLICATION <br />CITY OF EVFRE7T PERMIT SERVICES <br />3200 CEDAR STHEET, [VFft[TT, WA 98201 <br />425-257-8810 — FNC 425•257-6857 — www.everettwa.org <br />SITE AODRFSS � <br />�c 5 " ��J' Sf, <br />LCG41. LOTNO. <br />DFtiC. <br />owHen <br />(,�:�/l('l(�' �F.iJIJA/Y� . <br />TEHAt77 NAIAE <br />CONTR. <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />TAX I.D. p <br />�i�n/1 e <br />BLOCK I TRACT OR SUOOIVISIOH N <br />IIUC1r70� !U/1TC2 <br />� I AOUn�55 CITY2IV PMONE •� <br />�i�S v�0i� ��`!�"SI� � �c'�if `i8.?U�' 33� -,�06� <br />I�ONiACT F(]R PERNR, PHONE �j� -C� ��- .j s� <br />CtCC! �ai'l, � ^ls`- �_M„�hofcuaie���l uu C� vi <br />f�lUf"""�A f��.U/ /U'l�l! S 1 V2�—�bH[ ifA'�,�A".y� <br />riu .o <br />a1.C! fi � <br />� /�e l e ve� l��- 9s�a5 �'�8 <br />USE OP 6UILDING I <br />–r �st��en�'�el� ! - — <br />WORK DESCRIPTION <br />� ��«�e. 0��� <br />NO, I TYPt OF SIX7URE Ofl fTLM <br />I Todet <br />-" �' EiJIhWb <br />_ _-- L. vaiory (wash bnsin) <br />Shcwct <br />_ Kllclwn sink 8 disposa� <br />- Uishwashei <br />-- Gluthesw�shur <br />Wa�er hamcr <br />_ S�n6 f5��rvi�r,lbar/niop4�lC 1 <br />_ _ [iacrtlluwprrvonli�r <br />UnnN <br />_ Urinl�in� Founi:cn <br />rloci emin <br />Grcase Imn <br />Rool drains <br />--- Other <br />HEAT SOUHCE CONTRACT PRICE Of WOHK <br />_ Gec�ric /�Gas _ other � ( (_1 � � <br />�_.l -f�� UJC��-�°.� iti? a�-,�� <br />NO. <br />?VPE Of Fl7CTURE OR ITEM <br />NC - nir hOnd�ing units <br />Fu¢ed ciir cystema <br />Ga5 piping <br />W ater heatcr <br />Gas fireploce <br />Gas range <br />Clplhes dryer <br />Range hcotl <br />Eahausifan <br />Hnnl pump <br />Unit heater <br />Goiler <br />Rolriporati�n <br />Woodstove <br />Othcr_—'—. .— <br />CITY OF [VEFiETT LOCAL SAlES TA)( CODE IS 3105 <br />I I�r.m:ry Cen�dy Ihel I li,�vr, read and r.xamined Uiis appiicnlion and know llio samo lo be Irue and conect. All provisions ol laws and <br />oidinaces �ovcini�x� Ihis typo ol wo�k will be wrnpliud wilh v�heihor specllieC herein or not. Thc granhng ol a permil does not presumo <br />W g�ve aullwrily W vioiale cr cancU the provision of any other sla�e or IOCeI law rogulating cOnstruction or Ihe perbrmance of <br />cursiruciio� l hat i am auihorizod by Ihe o �er ot this prope+ to pOrfo!�e wo�k br whlch applicaiiun i•; m;fde �nA I comply wilh fhe <br />9aln Conlra f..l.lW 1f32' RC a tl 2g �OO 1VAC. �'/ <br />' "_ l <br />�-" �U(.0 � l�!C'ctiu���—/–� <br />;;�qnalu ol Owne : onlractod dhonzed /1Qent ��1A <br />�'I���-u� u`�� -`- '� � � � <br />� ��.4i� C�n ��i l.c -�_ ►� c�_o��� t r�c►u� _�la � 1�� ►���u.� ;� � l' uT�+►�'t �- <br />� �'lC�,l�tK- l��'i�,_ I <br />