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�:?-12-' �9 13�57 FROM- T 369 P002/��2 F-612 <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVER[TT, WA 96201 <br /> 425-257-8810- F/V(425-257-8857 -www.everettwa org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM '3 _�'Z�O� <br /> SITE AUURFSS PARCEI. 7AX I.D.1( PLRMIT p <br /> 11?_7 E CASINO 00393600401100 �„'� t���� •', U r <br /> LEG�I LO7N0. OLOCK TRAC7 <br /> �ESC <br /> U�NNER AO�RE55 CITVIZIP PMONE <br /> DONALD MULL 1127 E CASINO, Everetl 98?_04 425-355-4590 <br /> 7ENAN7 NAME CONTACT FOR PERMIT PHONE <br /> Naida Khan/Northwest Pennit Inc 360-945-2787 <br /> CONTRACTOR `^,C�+�O APDRLSS CITV2IP PIIONF: <br /> VVLJ <br /> CONTR.LICENSEO W�SHIES97106 Zf300ThorndykcAveW s�.,tti�,��aiss 206-37f3-6649 <br /> USE OK BUIL�ING HGAT SOURCL CONTRACT PRIC6 OF WORK <br /> Residential __E���,��� X oes_omer $950.00 <br /> WURK DE3CRIPTION <br /> Replacing a gas to gas 50 gallon water heater <br /> PLUMBINO MECHANICAL <br /> NO. riPE OF FIXTURE OR ITEM NO. TVPE Of FI%TURG OR ITEM <br /> Tuilel T A/C-ah hantlllny uni�s <br /> �a1Mub forced nii syetems <br /> Levalory(wesh bas�n) Gas piptn� <br /> � Shower � Water henler <br /> Kllchen sink R d�sposoi Gas Greplace <br /> _ � Oishwasher Gas range <br /> Clolhes wnsher Clothes dryer <br /> T 4�unqry�ray Range hood <br /> Smk(serncelbar/mnp�ete) T Gxhaust lan <br /> T'�' BackAuw preventer Hesl pwnp <br /> Urinal � Und neater <br /> Drinkmg Fountain _ [3oiler <br /> Floor tlraln Refr�gerahon <br /> . G�ease trap Woafstove <br /> Root tlrams Other <br /> ---- Otner — — — <br /> CITY OF GVERE�T LOCAL SALES TA%CODE 15�106 <br /> _ _ <br /> i hereby cenUry Ihat I have read and exar�,�ned Ih�s appuration and know the same to be Irue end mrrect All prowsions ol laws and <br /> n�dmaces goverrnng this rype of work wlll I�e ccmplied valh whether specdied herein or not The granlmg o�a permA does not preaume <br /> tu,y��e autn�nty to v�oiate o�cancei Ine provis�on o1 nny othei state or local law regula6ng conslruction or ihe pertormance of <br /> cnn,�ruction 1 hal I ant iu�honZed by�he ownor ol Ihis property to pat�orm�ha wo�k IU�vfiiCh appliCaUon is made and I comply with�he <br /> Jll�e C l�eClorS L i 77 RCW antl 296 200�NAC <br /> �,��fl�� 0 3 � Q S � <br /> , <br /> $inn;ilure ol O �nr rrCoritrac�oi AulhonZeO Agent �ate <br />