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�� ; <br /> PERMIT APPLICATION <br /> CITY OF EVERETT pERMIT SERVICES <br /> 3200 CEDAR STREET. FVERETT, Wq 08201 <br /> 425-257-8810—FAX 425-257-8657—www,evefettwa.org <br /> APPLICATION9/�RE qCGEPTED FftOM 8 AM TO 4 PM <br /> SIiE AODRES3 PARCEL TAX I.D.# PERMIT <br /> 4909 FOWLER AVE o0394600002900 �07- O `j <br /> LEGAI LOT NO. BLOCK TRACT <br /> DESC. <br /> OWNER �p�s . <br /> CITY21p PHONE <br /> JIMMY FINLEY 4909 FOWLER AVE Everek 90203 425-238-3682 <br /> TENANT NAME CONTACT FOR PERMIT <br /> PHONE <br /> Naida Khan 360-945-2787 <br /> CONTRACTORI��ESCO AD��S qT��p PHONE <br /> V1/ 2800 Thorndyke SEATTLE ao0-3s8-4863 <br /> �onrn.���nse.WASHIES971 OB <br /> USE OF BUIIDING I HEAT SOURCE CONTRAC7 PRICE OF WORK <br /> SFR _,E�eadc �c�s5 o�ner <br /> 8435.00 <br /> WORK OESCRIPTION � � ' <br /> REPLACE 100K BTU GAS FURNACE <br /> PLLIMBING MECHANICAL — <br /> N0. TYPE OF FI%TURE OR ITEM NO. <br /> TYPE OF FI%TURE OR ITEN <br /> _ Balhtub aC—air handling units <br /> ` Lavatory(wash 6asin) � Forced airsysiems <br /> _ Shower _ Gas piping <br /> Kitchen sink&disposal � water heater <br /> Dishwasher ._ Ges fireplece <br /> Clothes wesher _ Gas ran8e <br /> _ Laundry troy _ Ci�thes aryer <br /> _ Sink(servicelbadmop/etc.) _ ftange hood <br /> Backllowprevenler _ Exhaustfan <br /> , Urinal _ Heatpump <br /> _ Drinking Fountain ._ Unit heater <br /> „ Floordrain _ Boiier <br /> ` Creax trap � Refriperation <br /> , Roo(drains _ Woodstove <br /> _ Other,`_ _ Other <br /> CITY OF EVERETT I,OCAL yq��5 7AX GODt IS�705 <br /> I hereby ceritity that I heve read and examined this applicaUon and know the same to ba true and corted. All pr�visions o(lewz and <br /> ordinaxs goveming this type of work vrill be comolied with whethrr speoR�horetn or not.The pranting uf a perm�t aces not presume <br /> w yive autnonry�o violate or cancet the provision of any other state or local law reguiating construqion or the performance ot <br /> construdion. That I am authortzed by the owner of this property to perform the work for which appiication is made and I compiy wi(h lhe <br /> Stata Ccntrad Law CW and 296.200 WAC. <br /> �gnature of ner o ctonnu(honzed Agent � � �� <br /> ate <br />