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09-30-'08 11:98 FROM- T-969 P002/003 F-573 <br /> PERMIT APPLICATION <br /> CITY OF EV�RETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857—www.everettwa.org <br /> APFLICA710NS ARE ACCEPTED FROM 8 AM TO 4 PM 9� 3 Q--p g <br /> SITE APDRESS PARCEL TAX I.D.# PERMIT p <br /> 10121 EVERGREEN WAY 28042400200100 � gp�j-p�{9 <br /> I,EGAL LOT N0. BLOCK TFtACT <br /> DESG <br /> OWNCR AODRE55 CITYlZIP PHONE <br /> TOYAMA RESTAURANT CORP 10121 EVERGREEN WAY , Everetl 98204 425-679-1155 <br /> 7ENANTNAME I CONTACTFORPERMIT PHONE <br /> Naida Khan/Northwest Permit Inc 360-945-2787 <br /> CONiRACTOR ADDRESS CI7YIZIP PHONE <br /> WESCO <br /> CONTR.LICENSCit WASHIES971 OB �800 Thorndyke Ave W seattle,s819s 800-398-4463 <br /> USE OF 6UILDING I HEAT SOURCE CONTRACT PRICE OF WORK <br /> COfT11110rC18� _,Electric X Ges_Olher $3500.00 <br /> WORK DESCRIPTION <br /> Replacing a gas to gas BTC-149 commercial water heater in the kitchen. <br /> PLUMBING MECHANICAL <br /> NO. TVPE OF FIXTURE OR ITEh� N0. 7YPE OF FI%TURE OR ITEM <br /> Toilet PIG—air handling units <br /> Bathtub Forced air systems <br /> _ Lavarory(wesh t�esin) � Gas piping <br /> Shower � Water heater <br /> !' Kilchen sink&tlisposal _ Gas firep�ace <br /> Dishv+asher _ Gas range <br /> Clolhes washer Clolhes dryer <br /> Laundry tray _ R2nge hood <br /> Sink(servicel6admop/elc.) _ Exhaust fan <br /> _ BackFlow preventer _ Heal pump <br /> Urinal Unit hEaler <br /> _ Drinking Fountain Boiler <br /> Floor drain Re(�igeration <br /> Grease trap _ Woodslove <br /> Roof drains Other <br /> Vther <br /> CITY OF EVERETT L�f:AL SALES TAX CODE IS 9105 <br /> 1 hereby centiry that I have read and exa�rined tliis application and know the same to be true and correct ail provisions of laws and <br /> ordinaces governing this type of worK wtll Oa complied vnlh�Nie�her specif ed herein or nol The granting oF a permil does nol presume <br /> to give authority lo viula.c or cancel lhe provision of any olher state or locsl law regulatinp conslruclion or tne pedormance of <br /> consVuclioa Thal I am aulhorized by the awner of lhis property lo perform the work for wh�ch applicalion is made and i wmply with Ihe <br /> Slate Conlr ors law a '27 RCW and 293.200 WAC. <br /> ���-� °�1�°�- <br /> STgnature o(Ownod tractor Au.�l onzed Agent e <br />