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02-07-'11 16:59 FROM-nw permit <br />( <br />13609952091 <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />�ne or�..co,n _ cnv e�6_�azAAR� _ wunu everettwa.ara <br />S17E ADDRESS <br />5404 FAIRVIEW AVE <br />LEGAL LO7 NO. <br />DESC. <br />MATT PULLEY <br />TENANiNAME <br />GONiRACTOR �A/G'SCO <br />VVG <br />APPLICATIONS ARE ACCEPTED FROM 6 AM TO 4 PM <br />PARCEI.7AX I.D, N <br />00443200002300 <br />BLOCK TR4CY <br />CONTR. LICENSE M wASH I GS97 � OB <br />USE OF BUILDING <br />SFR <br />WORK DESCRIPTION <br />REPLACE 80K GAS FURNACE <br />Np. I 7�'PE OF PIXTURE OR I7EM <br />Toilet <br />Bathlub <br />� Lavalory (wash basin) <br />Shower <br />Kitchen sink 8 4isposal <br />�ishwasher <br />Glolhes washer <br />Laundry tray <br />Sink (servicelbarlmop/elc.) <br />Bac'�8ow prevenlar <br />Urinel <br />!' Drinking Founlain <br />Floer drain <br />� Greasetrap <br />Roof drains <br />� Olhar <br />5404 FAIRVIEW AVE <br />ICONTACT FOR PERM17 <br />Naida Khan <br />ADDRESS <br />2800 Thorndyke <br />HEAT SOURCE <br />Electric � Gas _ Other <br />r-ess Peez/eea F-5ae <br />M <br />Everett 98203 425-710-0453 <br />PHONE <br />360-945-2787 <br />CITY2IP PHONE <br />SEATTLE 800-398-4663 <br />CONTRACT PRICE OF WORK <br />Np, I TYPE OF FI%7URE OR ITF.M <br />A/C — air handling unhs <br />Forced eir syslems <br />Gas piping <br />Water healer <br />Gas fireplace <br />Gasrange <br />Glothes dryer <br />Rangehood <br />Exhaustfan <br />Heal pump <br />Unil haete� <br />Boiler <br />Refri9erelion <br />Woodstove <br />Olher <br />CITY OF EVERETT LOCAI SALEB TAX COOE IS 5705 <br />I hereby ceritiry �hat I heve read and examined this application and know the same to be true and correct. All provisions ot laws and <br />ordinaces govetning this fype of work will 6e complied with whelher specified herein a nol. The grant�ng of a permit daes not presume <br />to glve aulhonty to violate or cancel the provision ol any ather state or local lew regulating construction or 1he peRormance of <br />construction. Thal I am authorixed by lhe owner of Ihls property to peAorm ths work for which applicatian is made and 1 comply with the <br />State Conlraclors Law 18.27 RCW end 296.200 WAC. �).� -7�, �/ . <br />�> 9 �✓ _� // =! �%�G�-� <br />