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( � <br /> PERMIT APPLICATION <br /> i CiTY OF EVERETT PERMIT SERVICES <br /> 3200 CCDAR S7REET, EVERETT, 'NA 95201 <br /> 425-257-8810—FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �z ..-�Q—� <br /> SITE ADDRESS PARCEL TAX I.D.M PERMIT t! <br /> 5625 EVERGREEN WAY 32s81oo360 ''a - 05� <br /> LEGAL LOTNO. �LOCK TRACT <br /> DC'c. <br /> OWNER A��RESS GITY2IP PIION[ � <br /> su���ori durac-r:UN Y.IM/CROWN CLCANGF3 same as site address ever 98203 425 352-1221 <br /> 7ENAN7NAMC- CON7aCTFORPERMIT pHONE <br /> INaida Khan/Cyndal Millhollin 360-945-2787 <br /> CONTRACTOR �n�1,SCO ADDRESS CITY2IP PfiONE <br /> VVG <br /> CONTR.LICENSEft 2800 Thorndyke SEATTLE 800-39d-4663 <br /> WASHIES9710B <br /> USE OP Ol11LUING HEAT SOURCE CONTRACT PRICE OF WORK <br /> COMPJIERCIAL _e�ecv�c �Gas_Other $5500 <br /> WORK DESCRIPTION <br /> REPLAC[ GAS 75 C�AI.I_QN HOT WATER HEATER (G75-125) <br /> PLUMBING � MECHANICqL <br /> N0. I TYPE OF FlXTURE OR ITEM NO. TYPE OF FIXTt1RE OR ITEM <br /> 7oilet A/C—air handling unifs <br /> _ Bathtub Forced air systems <br /> _ Lavarory(•riash basin) _ Gas pipinfl <br /> _ Shower , Waler heater <br /> _ Kitchen sink E efispos2l Gas freplace <br /> Dishwa,her � Gas range <br /> _ Gotnes washer Clothes dryer <br /> _ Laundry(ray Range hood <br /> � Sink(servicelhadmop/elc.) Exhaust/an <br /> �achfluw pievenler HCat puRlp <br /> ^ Unnal Unit heater <br /> � Dnnking Fountain � 8oi(er <br /> _ Floordroin RcOiyeralion <br /> Grease trap Woodstove <br /> � Roof drains � Other <br /> � Othor <br /> CITY OF EVG�tEtt I.00AL SALES 7'A7C CO�E IS J705 <br /> I hereby ceritify ihat I hove mad and examined this applicalion and know tne sama 7o be true and corred. All provisiens of law,and <br /> ordlnaccs governiny lhis Iype of work�5911 he complle0 wl(n whettlef speCifieO nereul or not. The c�ranting o(a pefmit does nct presume <br /> to give authoriry to violafe or cancel the provision of any other state or local la�v regulating conswction o�the periormance oF <br /> construction.That I am auNiorized by the owner ot this property t perform the work for which application is made and I comply tvilh the <br /> Statc Controclora Low 1B,v� CW and 29G.200 bVAC. / <br /> ( <br /> SignNmm� ,wnp ;r ,f.ctoUAutnorizoC Agonl ��p <br />