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Mar 27 10 0941a Washington Water Heaters <br />4255726781 p2 <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.everattwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS �7— PARCEL TAX I.D. p PERMIT # <br />dSF6ai 003C �W000 8,v-7 0�3 <br />LEGAIJ LOTNO. BLOCK TRACTOR SUBDIVISION• <br />DESC. <br />OWNER ADDRESS CITY21 NE <br />anwf�rru Met- 19 `73`�,� Siu 61-6& lgzo <br />TENANTNANE ONITACT FK1RatPP1E.0RMIT.0dLtar S PRONECO- /7�p' Ii�^EA ADDRESS-MILLofffiLf"` —ahD �—tT�VJ V6tT0tJ AJA7&L%64� <br />gig <br />CDNm Ur+s"141',r-- 9Sr0 <br />USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br />L-,P cJ Ia" ,nt10 _ Electric — �Las _ Other I 1 I Cri <br />WORK DESCRIPTION ' <br />e Cr�Aj ( 61 <br />NO. I TYPE OF FIXTURE OR mu <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Water healer <br />Sink (servicolbur/mrVete.) <br />Backflow pfavenler <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease Trap <br />Root drains <br />Other <br />;11 <br />TYPE OF FIXTURE OR ITFIA <br />A/C — alr handrirg units <br />Faced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryor <br />Range hood <br />Exhaust fan <br />Hoat pump <br />Unit heater <br />Boiler <br />Roffigoration <br />woadstove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby corifity that I have mad and examined this application and know the same to be true and correct. All provisions o1 laws and <br />ordinates governing this typo of work will be compiled with whether specified herein or not. The granlirg of a permit does not presume <br />to give auCwrity to violate or cancel the provision of any other state or local law regulating construction or the performance of <br />construction. That I am authorized by 'lie owner of this property to perform the work for which nppfication is made and I comply with the <br />.Slat onlrnctars Law 18. 7 R . rvnn Prin W <br />C '51 Z7-/0 <br />