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JUL-01-2011 15:U5 FROM-WASHINGTON WATER HEATERS <br />8663757454 T-702 P 001/001 F-020 <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, E:VERETT, WA 98201 <br />425-257-8810 — FAX 425.257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />`Zl o <br />PARCEL TAX I.D. # <br />^9MITtY <br />en t' L) <br />LEGA LOT NO. BLOCK <br />TRACTOR SUDDMSION N <br />DESC. <br />owall 6U ADDRESS CITY/ZIP PHONE r• <br />10(2"gV�3 A9%4 -ee-zygi <br />40 �-/— <br />TENANTA�// IFfFON�/Tn�ACT FftH PERMITT, PHONE <br />IUM IVQt.(.1• <br />_ L <br />VJQ ��T�S E-MAIJ? fu 'T Y Olt L0114hi <br />' <br />u1f'71n167TNJ lvATE2W6yt ADDRESS a� S t�s <br />&ul/c <br />USE OF BUILDING <br />HEAT SOURCE <br />CONTRACT PRICE OF WORK <br />Electric o _ Other <br />WORK DESCRIPTION <br />Cj/L. UAA,- C( �` <br />` <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />NO. TYPE OF FIXTURE OR ITEM <br />Toilet <br />_ <br />A/C - ai(handlingunits <br />w <br />Bathtub <br />Forced air systems <br />Lavatory (wash basin) <br />_ <br />Gas piping <br />_ <br />Shower <br />Water heater <br />Kitchen sink 8 disposal <br />— <br />Gas fireplace <br />Dishwasher <br />_ <br />Gas range <br />Clothes washer <br />_ <br />Clothes dryer <br />Water heater <br />— <br />Range hood <br />_ <br />Sink (service/bar/mop/etc.) <br />Exhaust fan <br />Backliow, prevent • <br />Heal pump <br />Urinal <br />Unitheater <br />_ <br />Drinking Fountain <br />Boller <br />_ <br />Flour drain <br />Refrigeration <br />_ <br />Grease trap <br />Woodstove <br />Root drains <br />Other <br />_ <br />Other <br />_ <br />CffY OF EVEREIT LOCAL 9ALE9 TAX CODE IS mos <br />I hereby ceriliy, that I have read and examined this application and know the same to be true and correct. All provisions of laws and <br />ordlnacos guveming this type of work will be complied with whether specified herein or not. The granting of a permit does not presume <br />to give authority to viotato or cancel the provision of any other state or local law regulating Construction or the performance of <br />coon. That I am aulhunzed by the ownorgl this property to perform the work for which application Is made and 1 comply with the <br />to Co factors Law 1837 C1q Y and 296,2pg <br />SrarrAAge�%t� ateT lc o C,, <br />owner/Con-ectonAAuutt®h—w-ze <br />