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�E-�1-' l�8 19. 19 FROM- T-825 Y002/��3 F-370 <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, F.VERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa org <br /> APPLICA710N5 ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADURE53 � I PARCEL TAX I.D.p PERMIT N <br /> 3428 BELL AVE �--��---���� 00561900202300 _ � M cy�_ <br /> �EGAL — WT N0.— BLOCK I TRACT — <br /> OE$C � <br /> - OWNER J ADDRESB 31N21P PHONE <br /> NICK ALVANOS (2ND TANK) 3428 i3ELL AVE, Fverett 98201 425-73G-4274 <br /> 7ENANT NAME CONTACT FOR PERMIi �HONE <br /> Naida KhenlNorthwest Permil Inc 360-945-'2787 <br /> CONTRACTOIi 1A/�SCO ADOR[55 CITY�ZIP PMONE <br /> VV <br /> CONTRUCEN6EM WASHIES97108 ?800ThorndykeAvoW Soanle,981�9 800-398-4463 <br /> USE OF BUILDING HEAT SOURCE I CONTF2ACT PRICE OF WORK <br /> Residential �Electric x �as,__otncr $950.00 _ <br /> WORK DESCRIPTION <br /> Replacing a gas to gas 30 gallon water heater <br /> PLUMBING MECHANICAL <br /> NO. 1YVC OF FIXTURE OR ITEM NO. TY7E OF FIXTURE OR ITEM <br /> To�iet A/C—aii handling undc <br /> f3r��lilcn � Forcea air syslems <br /> _ Lavalory(wash bas�n) Gos pfping <br /> Sl�ower � Walur henter <br /> _ Kdchen sink&disposai Gns freplace <br /> - D�shw2anr.r ^ Gas rango <br /> � Clolhea washer Clolhes Aryer <br /> � � Laundry L'ay Range hood <br /> S�nk(servicelbadmop/etc� � E:heusl fan <br /> � O2ckflow preventer � Heat pump <br /> Unnel Untl heater <br /> � Onnk�ne Fountain Bo�ler <br /> _ Floor drain Relrigeralion <br /> ' Grease irap Woodstove <br /> Roof dra�ns Other_� <br /> _ Other _ <br /> ICITV Of EVERETi LOCAL bALFS Tnx cO�E IS J106 <br /> � I herehy cerd�fy Ihfl+I hnv�read 2od 6x�imined lhi5 eDP���h0f1 e�d know thC 57rrle�O bB��Ue 3�d COf�¢d Au prowsions of laws and <br /> ordina�rs guvemm�Ihis rypo ot work wdl be complied H,in wnelher speciGeA i;ere�n or not 7he c�rantir,g ol a penmt Aoes not presume <br /> tu gwe authonty to v�ola�e or cancel tha prwision ol any othe�stale or local law regulating construclion or the perfomiance of <br /> � construq�on that i am auR�orizod b��Ihe owner of this praperry lo pano�m the vrork!or vM�rh epplicaGon �a made antl I comply with Ihe <br /> I S(ate �ntra f rs Law 18 CW ynd 296 200 WAC <br /> Sig t . � er - n � � /Aulhanzed Agent ��� <br /> i <br />