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10-13-'09 15:40 FROM-m: pei•mit 13609452091 T-828 F003/0�4 F-846 <br /> � ' <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEOAR STREET, EVERETT, WA 98201 <br /> 425•257•8810 - FAX 425•257•8t357-www.everettwa.org <br /> APPLICA710NS ARE ACC[PTED FROM 8 AM TO 4 PM �� � J l,� `� <br /> SITE ADDRESS PARCEL TAX I.O.N � PERMIT q <br /> 561s COMMERCIAL AVE ooassaoisozaoo 1Cx�li:-01Y, <br /> LEGAL LOTNO. ULOCK TRACT <br /> DESC, <br /> OWNER • ADDRESS CITYIZIP PHONE <br /> VIJAY & VE�NA ADVANI 5618 COMMERCIAL AVE ever 98203 deafveei�aCyalioo.com <br /> TENANT NA�1E CONTACT FOR PERMI7 PHONE <br /> �laida Khan/Cyndal Millhollin 360-945-2787 <br /> CONTRACTOR �A/CSCO AOORESS CiTYIZIP PI10NE <br /> ��� 2800 Thorndyke SEATTLE 800-398-4663 <br /> coNrR.ucENSE a WASHIES971 OB <br /> USE OF 6UILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> residential I _e������� �Gas_Other I 8261.00 <br /> WORK DGSCRIPTION <br /> REPLACE GAS 60K BTU FURNACE & INSTALL 2.5 TON A/C UNIT <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEh7 NO. TYPE UF FIXTURE OR ITEM11 <br /> Toitel ' AIC—airh2ndlingunits <br /> Bs�hlub + FofCetl aif syslems <br /> Lavalory(wash bnsin) Gas piping <br /> Shower Walor heflter <br /> ICitch¢n sink&dispo3al Gas f�replace <br /> Y Disliwashcr GeS range <br /> Clothos vrashor Clotnas dryer <br /> � Laundry tray Range hooJ <br /> Sink(sarvica/9admop/etc.) ^ Exheustian <br /> ^ BackOaw preventer Heal pump <br /> Urinal Unil healer <br /> D�inking Fountain �oilcr <br /> Floor drahi Refrigeralion <br /> Groase ir2p Woodstovt3 <br /> Roaf drains O�he� <br /> Olhor <br /> CITY OF[VER[TT LOCAL SALES TAX CO�E IS 3105 <br /> I hereby cerihfy that I hav¢ruad and exarn'ned lhis applicalion nnd know the same lo be Irue and correct. All provisions of law5 and <br /> ordiaaces goveroing lhiS type o(work will 6e complied with whothCr SpoCifwd hor¢irt Or nol. Tha granting of a permil dOCS 001 p�e5ume <br /> t0 c�rve 3ulhori�y to violate or cancel Ihp prOviSion t'any olher slate or local law regulatinc�ConStruClion or the peAomianca of <br /> constructian.Tha� I ant auU�orized by the owner ot this property to po�torm Ihe wotk for which appiicatiun is�»ade and 1 tomply with Ihe <br /> � Sla!o ConVacWrs Law 18.Y7 RCW and 2�36200 WAC. <br /> Sipnalure o Owner/Contractor/Authuriied Apenl Oate <br />