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N1ar 07 12 04 20p <br />Washington Water Heaters <br />4257461563 <br />p1 <br />ADDRESS <br />4•il <br />DESC. <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257.8810 - FAX 425.257-8857 - ovww.evorettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />ey S f 5 IF <br />BLOCK <br />PARCEL TAX I.D. R <br />St Sic, <br />FOR PERMIT, f <br />LL/"i Lts <br />—v-f z <br />PERMITS <br />v1)ir)':'z,-01 U <br />-COACTOR' <br />601A +V AJ��n ,r 6%r6a3 eS qk eit!A dS;1 /yrr<n• rnunc �ira��W <br />CONTR.WWf)A,,G* �- '79D O-PlY -- -I ilNne gut it ill <br />f�Cia 9 J W fi`J�'o8 <br />USE OF BUILDING MEAT SOURCE CONTRACT PRICE OF WORK <br />Elecldc cat: _ Other <br />WORK DESCRIPTION <br />L <br />No. I TYPE OF FIXTURE OR ITEM <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink a disposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (servicelbar/ntoprelc j <br />Backllow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Ruel drains <br />Other <br />uJajer {-wa+er <br />NO. I TYPE OF FIXTURF. OR ITEM <br />AIC - air handling units <br />Forced air systems <br />Gas piping <br />Water healer <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaust fan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Wood. ova <br />Other_ ___ <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 7106 <br />I hereby corillfy 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 type of work will be complied wilh whether specilied here°n 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 local law regulating construction or the performance of <br />construction. That I am authorized by the owner of this property to perform the work for which application is made and 1 comply with the <br />State Contractors Law 18.27 RCW and 296.200 WAC. �''' - <br />KDoti--emi;tcv. tY �$-ei <br />