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10-17-'07 10:19 FROM- T-703 P0�7./003 F-998 <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PFRMIT SERVIC�S <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-88t 0—`AX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCE�TAX I.D,if PERMIT p <br /> 4816 W GLENHAVEy DR 00456700002100 p-7-I �j-C�`� <br /> LEGAL LOTNO. BLOCK iFiACT <br /> DESC. <br /> OWNER AODRESS CITVRIP PHUNE <br /> BENJAMIN HANSEN 4816 W GLENHAVEN DR Everett 98:03 <br /> TENAN7 NunE CON7ACT FOR PERMIT PHONE <br /> Naida Khan/Northwest Permit Inc 360-945-2787 <br /> CON7RACTOR 1AI�SCO AOORESS CITYIZIP PHONE <br /> ��� 2800 Thorndyke SEAT7LE 2Q6-378-6649 <br /> conr;c.�iceNse r WASHIES971 OB <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> S FR I _Eledric ��as_otner 950.00 <br /> WORK DE3CRIpTION I <br /> Replace gas to gas 50 gallon 40,000 btu water heater <br /> PLUMBING MECHANICAL <br /> NO. TVPE OF FUCTURE OR IiGM NO. TYPE OF FIXTURE ORITEM <br /> 7oilet A/C—air Imndling units <br /> Balhtub Forced air systems <br /> Lavatory(wash basin) � Gas piping <br /> Showor , Waterhealer <br /> + Kilchen sink 8 disposal + Gas fireplace <br /> Dishv�asher Gas range <br /> Clothes washer Clothes dryer <br /> Laundry Iray Range hood <br /> Sink(serviceJbar/mop/etc) Exhaust lan <br /> BackOow preventar _ Heat pump <br /> Urinal Unit healer <br /> Drinking FoUntain Boile� <br /> Floor drain Refngeralion <br /> Grease Uap Woodstove <br /> Roofdrains Olner <br /> Olher <br /> CITY OF EVEHETT LOCAL SnLES 7AX CODE IS a705 <br /> I hereby ceriliry lhat t have read and examined this application and know the same to be We and corred. Ai1 provisions of laws and <br /> ordinaces governing this tyr�e of work will be complied�wth whelher specified herein or not.The granting of a permit daes not presume <br /> to give authority to violale�r cancel the provision of any other state or local lew rec�ulating construdion or lhe pedormance of <br /> wnslruaion.Thal I am aulhorized by the owner of this properry to peiform the work hr��mich app�icaGon is made and I compty with the <br /> Stale Contractors La 18 27 RCW and 296.200 WAC. <br /> D � � <br /> Signatu e Own on acror/Aulhonzed AgeN Oate <br />