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� � <br /> I PERMIT APPLICATION � <br /> i CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR BTFEET, EVGRETT, WA OB201 <br /> 425-257-8810—FAX 425-257-8857—www.evereftwe.org <br /> APPUCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 51TE A�ORESS PARCEL TAX I.D.M PERMIT 71 <br /> 5112 ALTA DR 00377500002100 <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> 0 R D SS ; O <br /> JOHN MOIR 5112 ALTA DR, Cverett 96203 425-259-fi8�fi <br /> TBNANT NUAE CONTACT FOR PEIIMIT /HONE <br /> Nalda Khan/Northwoot Pcrmit Ina 360-845-2787 <br /> CONiRACTOR WESCO �ooaess cirvmr �HONE <br /> CONTRLICINSE� WASHIES97106 2800 Thomdyke Ave W seame, se�ss 206-378-6649 <br /> U9E OI'dUILDIN6 HEAT SOURCE GONTRACT PRIGC Of WORK <br /> Residential Eledric x Gas^Other $950.00 <br /> WORK DlSCRIPTION <br /> Replacing a gas to flas 50 gallon water heater <br /> PLUM81 O MECMANIGAL <br /> N0. TYP[OF FIXiUHE OR ITBM N0. TYVE OR fIXTURI OR fTEIM <br /> Toilet AIC-alr handling uniffi <br /> � Bathtub Forced air systems <br /> � ! Lavatory�wash bHs�n) Gas plping <br /> � Show�r � Welnr heater <br /> ^ Kitchen sink b disposal _ Qas freplace <br /> � OiSh.vasher Gas ranye <br /> '�, Clolhes washer � Clofhes dryer <br /> Laundry Iray ^ Renge hood <br /> I � Sink(servicelbaNmop/etc.) - Ezheust fan <br /> Badcflaw proventor � Meat pu�r.p <br /> Unn�l � Unit heeter <br /> Drinking Fountain _ Boil�r <br /> ! � rioor arain Refnperofion <br /> Grease trep Woodstove <br /> ! Raof df0i115 -- Ome� <br /> —J O�Iltll _ � - <br /> I <br /> I _ CITY OF EVERETf LOCAL SAL[S T�II CODF IS�100 <br /> I hereby cenliry that I have read imd examined fhis application and know the samQ to be true end eortact. All provisions of lawa and <br /> orainacec goveming ma�ypa ui nui�m��w w�uy��w..�,��..������e� aWr1n�J�ro�..h�..� ��..�.T..y....C..y.f.r..�..H I...�.��.��...�. <br /> , lo g�ve authonry lo wolate or cancel the pro�ision ot eny olher state or local law re0ulalinp coneWcNon ar the p�rMrmance of <br /> conatruction. 7hat I em euthonzatl by tho owner of this property to porlorm Ihe wo�for which applicatlan li mede and I comply with the <br /> Statv con ao �aw i Z RGW BOtl Y90.200 WAC. <br /> tiP�� i 2 2(� �' <br /> S pnature v�Owi i ootraavd ut onzed ngent arc <br />