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i <br /> PERMI� APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 GEDAR S7ttEET, EVERETT, WA 98201 <br /> 425•257-8810—FAX 425-257-8857—vryw+.everetlwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 31TE AD�RESS PARCEI.TAX I.D.# PERMITl� <br /> 2204 GIBSON PL 00417000700702 x G �-I G'Uv� <br /> i Fr,ai LOT N0. BLOCK Tttncr <br /> oesc. <br /> OWNER A�DRESS CITY2IP PNONE <br /> ROBERT HERING 2204 GIBSON PL, EVerett 98203 425-290-868�1 <br /> 7ENANT NAME I CONTACT FOR PERNIi PHONE <br /> Neitla Khan!Northwesl Permit Inc 360-945-27f37 <br /> CONTRACTOR WESCO ADDRE55 C1TY21P PlIONE <br /> CONTR LICENSEi WASHIES9710B 2800 Thomdyke Ave W seati�e, s8tss 206-378-6649 <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> Residential I _Electric X Gas_Olher � $18,479.37 <br /> WORK DESCRIPTION <br /> Replacing 1 oil to gas 110K fumace, 1 4-ton heat pump, 1 eleciric to gas Rinnai tankless water heater; <br /> 2 gas piping outlets ((or furnace and w.heater), and 6' each added to existing hot and cold water lines <br /> 1'LUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM N0, IYPE OF FIXTURE OR IYEM <br /> Toilet A/C—air handling units <br /> 8athtub + Forcedairsystertu <br /> —J Lavatory(wrsh basin) 2 �a�r�r��o <br /> � �Shower � Water heater <br /> � Kitchen sink S dispasal _ Gas fireplace <br /> pfahwoahcr Gas ranpe <br /> Clothes wasner Clothes dryer <br /> Laundry tray _ Range hood <br /> Sink(svrvirr.lh.irlmopfetc.) Exhausi fan <br /> BnckAow preventer � Heat pump <br /> ' � Urinal ` Unil heater <br /> Drinking Fountain _ 8oiler <br /> Floor drain Reingeranon <br /> � Grease trap � Woodstove <br /> Roofdreins ^ Other <br /> � Other �eacnotaoaieoneinotemcaawacernnes <br /> CItY OF EVEREiT IOCAL SALES TAX CODE IS 8106 <br /> I hr.mby ceritify tliat I have read and examined this applicntion and know the same to bo true and cortect. All provlsions of laws and <br /> ordinaees goveming this rype of worlc wi'1 he complied w�lh whether spedBed herein or not.The granting ot a pennic aoes oot presume <br /> to glve authority to violate or cancel the provision of any other state or local taw mgulating construction or the perfortnance af <br /> construdion.That I am authorized by the owner of ihis property to perf rtn the work for which application is made and I comply with the <br /> State Q' tractore La� 1 .27 RCW and 29G.200 WAC. <br /> %� �'�QC1`-- b �i �— <br /> Signature o r on re orrnutnonzen Ngem oatc <br />