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12-07-'10 14:92 FROM-nw permit <br />\ <br />SITE ADDRE83 <br />6104 FLEMING ST <br />LEGAL LOT NO. <br />pESC. <br />SANTIAGO RUIZ <br />7ENANTNAME <br />CONYRACTOR\AfESCO <br />vv <br />13699452091 <br />{ <br />PERMIT APPLICATION <br />C17Y OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everetiwa.org <br />APPLICATIONS ARE ACCEP7ED FROM e AM TO 4 PM <br />BLOCN <br />G�NTR. LICENSE N,^' ^ S H � ES97 � �B <br />V 11I, <br />USE OF BUILDING <br />SFR <br />WORK DESCRIPTION <br />PARCEL TAX I.D. N <br />00393200702400 <br />TRAC7 <br />6104 FIEMING ST <br />CONTACTFOR PERMIT <br />Naida Khan <br />ADCRESS <br />2800 Thorndyke <br />HEAT SOURCE <br />! Electric � Gas _ Other <br />REPI..ACE 40 GALLON GAS WATER HEATER <br />NO. I TYPE OF FI%TUFL OR 17EM <br />Balhtub <br />Lavatc.ry (wash basin) <br />Shower <br />Kitchen sink & disposal <br />� piehwasher <br />^ Clothes washer <br />Laundry Iray <br />Sink (servicelbadmop/etc.) <br />� Beckflow pfeventet <br />Urinal <br />� Driniting Fountain <br />Floor drain <br />~ crease trep <br />Root drains <br />� other <br />T-750 P002/095 F-150 <br />PERM17 k <br />�110 (2-U3S <br />Everett 98203 425-355-5247 <br />PMONE <br />360-945-2787 <br />CITY2IP PHONE <br />SEATTLE 800-398-4663 <br />CONTRACT PRICE OF WORK <br />$750.00 <br />NO. I TYPE OF FIXTURE OR ITEM <br />NC — air handling units <br />Forced air systems <br />Gas piping <br />i Water healer <br />Gas fireplece <br />^ Gas range <br />Clothes dryer <br />� Range hoad <br />Exhausl (an <br />Hoat pump <br />Und heelef <br />Boiler <br />Refiigeralion <br />Waodstove <br />^ Othe� <br />CITY OF EVERETT LOCAL SALES TAX CODE IS J705 <br />I hereby cerili(y tllat I have read and examined this app�ication and know the same lo be true and correcl. All provisions ot laws and <br />ordineces yoverni�g this lype of work will Ue complied With whelher specified herein or not. The granliny of a pertnil does not presume <br />to give aulhorily lo vialate or cancel Ihe provision af any other state or local law regulating construction or the peAormance of <br />const�uclion. 7hat I am aulho�ized by the owner of this properly to peKorm ttle work for which application is made and I comply with Ihe <br />State Cantractors La�w }2.27 RCW and 2s8.300 WAC. <br />/ '.��'�l�t/ 12(t7y/ZOtv <br />