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Sep 10 10 0537p Washington Water Heaters 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.everettwa.crg q <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />TE ADDRESS - — — PARCEL TAX I.D. IT PERMIT V <br />LEGAO LOT NO. BLOCK TRACTOR SUBDIVISION <br />DESC. <br />WNEADDRESS CITY <br />C 4-6Vh a L1 Zo ` ZI)d S1- Sif. C�i2 8298 32(r--7 <br />TE�NANE ,Avls� NTACTFgRPERRMR, / ) yPHONE Q0-7*7?- <br />-um 00 �it%rE•MAILj10LWULuL <br />Ki/l�r��IqW7s 1N61Td� W_ <br />ADDRESS <br />CLICENSn5h <br />—i-eint— CNO aP / vile Gva 91rUa5 �5�g <br />USE OF BUILDING <br />HEATSOURCE <br />I c -'D(cu'" ("-. —4sI6clric _ Gas —Other <br />WORK DESCRIPTION <br />C_&CLA� <br />NO. I TYPE OF FIXTURE OR REM <br />Batlllub <br />I.evntory (wash basin) <br />slower <br />Kitchon sink 8 disposal <br />Dishwasher <br />Cb•hes washer <br />Water heater <br />Sint (servicelbar/mdpletc.) <br />BaLA:IOW Deventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />CONTRACT PRICE OF WORK <br />NO. I TYPE OF FIXTURE OR ITEIA <br />nru - as handing units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaust fen <br />Heat pump <br />Unit floater <br />Boller <br />nefrigerelinn <br />Woodstove <br />Olhar <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 7105 <br />I hereby cedtify that I have read and examined this appfierdon and know the spine to be true and correct. All provisions of laws and <br />ordinates governing this type of work will be complied wlth whether specified herein or riot. The granting of a permit does not presume <br />to give authority to violate or cancel the provision of any other state or for -- pow regulating construction or the performance of <br />conalruiption. That I am authorized by the owner of this Prl to perform the work fur which application is made and I comply with the <br />Stele 6irtscrlora Lawg827 f{CW arq WAC. ` <br />6A11.(�J <br />