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08-07-'09 19:20 FBOM-nw permit 13609452091 T-604 P668/014 F-551 <br /> < < <br /> PERMI�' APPLICATION <br /> CITY OF EVFRETT PERMIT SERVICES <br /> 3200 CEDAR STR6ET, FVERETT, WA 98201 <br /> 425-257-8810-FAX 425-257-8857-www.everetlwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO d PM <br /> SITE ADORESS PARCEL TAX I.D.M PE MIT M <br /> 7906 FOREST GLADE 00603700015800 Q��/Q <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS cIN21P PHONE <br /> HOWARD & PAT TATE 7906 FOREST GLADE Everett 98203 425-353-0997 <br /> TENANTNAME CONTACTFORVERMI7 PXONE <br /> I Naida Khan 360-945-2787 <br /> CONTRACTOR W�SCO ADORE6E CITYRIP VHONE <br /> 2800 Thorndyke SEATTLE 800-398-4663 <br /> coNra.uceNse�WASH IES971 OB <br /> USE OF 9LJILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> SFR I _Eledric �Gas_Other I 12905.00 <br /> WORK DES:RIPTION <br /> Replace 9ok htu gas furnace. Install 3 ton heat pump. Install tankless gas water heater w/ <br /> 10' gas p+; ��. Extend exisling hot&cold water Ilnes to water heater 10' each. <br /> PWMBING MECHANICAL <br /> NO. riPE OF fIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> _ Toilel A/C—airhandlingunils <br /> _ Bathtub + Forced air systsms <br /> _ �avatory(wash basin) � Ges piping <br /> Shower , Water heater <br /> _ Kitchen sink 8 disposal Gas fireplace <br /> _ Dishwasher Gas range <br /> 4lolhes washer Clothes dryer <br /> _ Laundry Uay Range hood <br /> Sink(service�er/mop/etc.) E�aust fan <br /> _ BackBowpreventer + Neatpump <br /> Urinal Unit heater <br /> Drinking Fountain � goile� <br /> _ Floor drain Refrigeration <br /> Grease irap Woodstove <br /> Roof drains Other <br /> � Othe� extena hot s coia water rnes <br /> CIN OF EVERE7T LOCAI SALES TAX CODE IS 1105 <br /> I hereby ceriti(y that I have read and examined fhis appiication and know the same to be true and corred. All pro�isions of iaws and <br /> oMinaces governing this type ot work will be complied with whether specified herein or not. The granting of a permit does not presume <br /> to give authority to violate or cancei the provision o(any other stete or local law regulating construdion or Ihe pertorrnance of <br /> conslruction. That I am authorized by the owner of this property to perform the vrork fot which apDlication iS made and I comply With the <br /> State ConVactors Law 18.27 RCW and 296.200 WAC. � <br /> �-�-� � /�/G � <br /> ��gn4 ature neN ontrector/Authonzed Agent a�t6— <br /> �� <br />