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Feb 29 12 02:40p Washington Water Heaters 4257461563 P.1 <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810— FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITIE ADDRESS PARCEL TAX I.D.A OERMITR <br /> U(40 i 5 w Gccb��c�v IZ0z-oso <br /> I ZGAq LOT NO. BLOCK TRACTOR SUBINVISIONA <br /> )ESC. <br /> OWNER ADDRESS CI /ZIP PNO <br /> gtha /�/ins l ryra�or o'daC s ST sCc� as= Ya7 0 <br /> TENANT NAME NTACT F��R P <br /> nEtR <br /> �1MITe,f r+ PHONEL /,,� 1, <br /> Al I1 IU VJNA L,L1J EMAIL!16&Q.7G 4 W Ll/r 9. <br /> A <br /> rTI0j,,rrFft5*Umac g 8 <br /> coN(AJNS W&Me- ok 9�a5 <br /> USE OF BUILDING �f HEA_TrSOURCE CONTRACT PRICE OF WORK <br /> r�S(den+ja _ electric Gas—Other Lit f 4 <br /> WORK DESCRIPTION <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> _ Toilet A/C—airhandlingunits <br /> _ Bathtub Forced air systems <br /> _ Lavatory(wash basin) Gas piping <br /> _ Shower Walerhealer <br /> _ Kitchen sink&disposal Gas fireplace <br /> Dishwasher Gas range <br /> Clothes washer Clothes dryer <br /> Water healer Range hood <br /> _ Sink(service/bar/mop/etc.) _ Exhaust fan <br /> Backflow proventer Heal pump <br /> Urinal Unit heater <br /> Drinking Fountain _ Boller <br /> Floor drain Refrigeration <br /> Grease trap Woodstove <br /> _ Roof drains Other <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 9105 <br /> I hereby cedtify that I have read and examined this application and know the same to be true and correct. All provisions of laws and <br /> ordinates governing this typo of work will be complied with whether specified h,rein or not.The granting of a permit does not presume <br /> to give authority to violate or cancel the provision of any other state or focal law regulating construction or the performance of <br /> Sctlon,That I m authorize by the owner his property to dorm the work for which application Is made and I comply with the <br /> tate Rif r R W 298.200 AC. <br /> Z 2 f� 2. FUcca:_ eovu ul cY S-'E x:cct3L, io <br /> DateOrlature of Owner/ContreCtoriAUthorized Agent <br /> (1:9.Q uSt (^ti Irk OnfiU Y (�t7Y1t C��G�t�t'Y f r'f141� 4n bfifw <br />