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To. Permrt Departmznt Page 3 ot a 2014�00-27 2325�27 (GMT) 188B40003B3 Fronr Deborah Shieltls <br /> —_— • —.- <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8�57 —www.everethva.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ��-�"�'1 <br /> SITE ADORESS PARCEL TAX I.D.# PERMIT!! <br /> 3610 FRIDAY AVE Unit36iz— 00451500701002 JV� 1�,0� —05� <br /> LEGAL LOT NO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE <br /> FRANCIS LOBE 3610 FRIDAYAVE Ur3iF36� Evere1t98207 g13-735-6748 <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> Naida Khan 360-945-2787 <br /> CONTRACTOR \A/ESCO ADDRE55 CITYIZIP PHONE <br /> V V 3909 196th St SW Lynnwood 800-398-4663 <br /> CONTR.IICENSE R WASH I ES971 OB <br /> USE OF BUILDINCa HEAT SOURCE CONTRACT PRICE OF WORK <br /> SFR _Electnc �Gas_otner $750 <br /> WORK DESCRIPTION <br /> REPLACE GAS WATER HEATER. <br /> P�UMBING MECHANICAL <br /> NO. TVPE OF FI%TURE G^n I i E1A NO. TYPE OF FIXTURE OR ITE1.1 <br /> 7odel NC–air handlinn un�ls <br /> BathWb Forcetl air systems <br /> Lavatory(wash basin) Gas piping <br /> Showe� i Water heater <br /> Kdchen sink 8 disposal Gas fireplace <br /> Dishwashcr Gas range <br /> Clothes washer Clolhes dryer <br /> _ Laundry tray Range hootl <br /> Sink(scrviceibarlmoplelc} [xhaust fan <br /> Backllow preventcr Heat pump <br /> Unnal Unit healer <br /> , Drinking Fountain Boilcr <br /> Floor dram _ RefngeraUon <br /> Grcase trap _ Woods�ove <br /> Roof drain, Olher <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS J705 <br /> I herehy cerdi(y thal I have read and examined this appGca6on and know lhe same lo be true and conect �tl provisions of laws and <br /> ordinaces goveming this type o(work vnll be complied with whether specified herein or not The grantmg o(a permll does not prnsume <br /> to give authonty lo vio�ate or cancel the provision of any other stale or local law tegulating conslruction or ihe performance of <br /> con,VUCtion. That I am authorized by Ihe owner of ihls property to peAorm the work for which applicatron Is made and I comply wdh Ihe <br /> State Contractors Law 1 27 RCW, d 296 200 Nf/���Iryslgnrtl by N.iida Y.hnn <br /> N a i a K�i a n °�� �"�NaidaNhan,o-IlonhwestPermiUnc, <br /> ou.!•mallanalOnr_,nwprimi�tom.t-U: <br /> Signature ol OwnedCoNrac.PulAuthorizetl Apant uatc loiaoe7716295o•o7�S11(11E <br />