4521 FOREST DR 2016-01-01 MF Import

08-07-'09 14:20 FAOM-nw permit 13609952091 T-609 P006/014 F-551 � � _ PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 425-257-8810—FAX 425-257-8857—vwvw.everettwa.org APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM S17E ADDRESS PARCEL 7AX I.D.ft PERMIT/ 4521 FOREST DR 00449500000700 � - LEGAL LOTNO, BLOCK TRAC7 DESC. OWNER ADOREBS CITVIZIP PM NE MIKE OGDEN 4521 FOREST DR EvereN98203 425-359-4136 YENANTNAME CONTACTFORPERMIT PMON! INaida Khan 360-945-2787 CONTRACTOR �A/�SCO ADORESS CITYILU VHONE �� 2800 Thorndyke SEATTLE 800-398-4663 coNT�.uceHse x WAS H I ES971 OB USE OF BUILDING � HEAT SOURCE CONTRACT PRICE OF WORK SFR _e�ectric �Gas_Other 9431.00 WORK DESCRIPTION INSTALL 60K BTU GAS FURNACE WITH 20'GAS PIPING PLUMBING MECHANICAL NO. 7YpE OF fIIfTURE OR ITEM NO. 7YPE OF FIXTURE OR ITEM _ 7oilet A/C-air handling units _ Bathlub + Forced air systems Lavatory(wash 6asin) � Gaa piping _ Shower Water heater Kitchen sink 8 disposal Gas fireplace _ Dishwaslier — ��e Clothes wesher Clothes dryer � Laund Ira 9 Sink(service/6ar/mop/eta) Exha stfan _ Backflow preventer _ Heat pump _ Urinel Unit heater _ Drinking Founlain + Boile� _ Floordrain Rehigeration _ Grease trap � Woodstove � _ Roof drains Other Olher GIiV OF EVERETT LOCAL SALEE TAX CODE IS 5105 I hereby ceritify that I have read and examined this appiicaUun and know the same to be true and correct. All provisions of laws and ordinaces governing lhis rype ot wcrk will be complied with whether specified herein or no�. 7he grenling af a pemtit does not p�esume to give authority to violate or cancai the provision of any other stale or local law regulatinp construclion or tha perfortnance of conslruction. That I am authorized by the owner of this property to perform the work for which application is made and I comply vrith the State Contrac r aw 18.27 RCW and 296.20�WAC. � �' �� 4/6 � 5 r�wre-oroaneriConVactodAuGionzed Agent a