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V�9-21-'07 12:59 FROM- T-621 P6A3/003 F-30� <br /> PERM17 APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EV�RETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 -www sverettwa org <br /> APPLICATIONS ARE ACC[PTED FROM 8 AM TO 4 PM ��a I �O? <br /> SITE ADPRESS PARCGL TAX I.D.p PERMIT N <br /> 105 E3ARBARA LANE �oo4A08000029ot _ �� C' 7Gc1 C-��1 <br /> LEGAI LOT N0. BLOCN� TMCT <br /> [JESC. ! _. _�— L — _ <br /> OWN�R ADDRE59 qTV121V PHONE <br /> GARY TOLLEFSON 105 BARBARA LANE Evorott 90203 42:i-268-6800 <br /> TCNANT NAME CONTAC7 FOR PERMIT PHONE <br /> INaida Khan/Norlhwest Permit Inc 360-945-2787 <br /> CONTRACTUR \�IESCO pU0RE8S CiTYIZIP PHONF I <br /> �� 2800 Thorndyko SEATTLE 206-37a-6649 I <br /> CONTR.LICENSEt W�SHIES9710S <br /> UBL=OF OWLDING H[AT SOURCE CONTRACT PRICE OF WORK + <br /> S FR __e�ear�c �.Ces_Other � 1 O 160.1 A _ <br /> WORK GESCRIPTION <br /> Install elec to gas 60,OOD btu (umace 8 27' {7ns piping to turnace; install 50 gal. gas weter <br /> heater& 3' gas piping to waler haeter; install 12' each hot and cold waler linea to water hoater <br /> -- . --- -- --. ._..._--- --__.._- ------M�CHANICAL---�-- --- <br /> PLUM9INC,-- <br /> NO. TYPE OI'FI%7URE OR�TEM NO. I TYPE OF FI%TURE OR ITEM <br /> Toilel � AIC-air handiing unils <br /> Belhtub + Forced eir systema <br /> � Lavalory(wash basin) ? Gas pping <br /> SI10WOf 1 W8!@f�1B2IOf <br /> —� K�lr.hen sink&ditipOeel Gas freplace <br /> � Dlahwasher _ Ces ranfla <br /> � Clothos washar __ Clolhes dryer <br /> J Laundry May Ranye hood <br /> Smk(sernce/barlmopletc) __ Exhnust lan <br /> f3ackllow prevenler He�t U��^P <br /> Uflfldl ^ 1I01t h0df9f <br /> � DnnBm�Foun�a�n J fioAer <br /> Floor qrain Relripetallon <br /> Grease lraF _ Woodsiove <br /> Noof droms OOier_ _ <br /> x_ �Ihf!f lfochhol�nOcomw�urLnatlowolernaa�ei _ <br /> ' CIiV OF EVERETT LOCAI.5oLE5 TA7(CODE IS 7106 <br /> I I hereby ceritity lh�t I hava rosi0 and examinotl:hi3 applice6on;�nd know the se.me lo De hue anA correcl All provis�ons of laws and <br /> Inrdmnu+s povemm;ihis lype of work w�il be cromD6ed vnlh whether speaGod herein or not The flranhng of a permd doei nol presuma <br /> lo grve authnrdy to v�alale or cancet Iho prwision ol eny other stale or local law repulabng construclion ur Ine peAormanca of <br /> c�nslructw� That I ein au0�orize0 by the owner of lhit propeAy to petform Ihe work lor which appLee�on�s made an0 I wmply with the <br /> State Contiactors Law 1B 2% RCW end 286.200�VAC <br /> � �f� �,�6�-A'�,� 2/� � �f- <br /> I s�ynatu�co Owner/ iVacior on/�I� ze��� af.-- <br /> � _ __ __---- --- — --- _ ---- - <br />