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01-1�-' 11 10:44 FROM-nw permit 1360945209� T-912 P004/006 F-337 <br /> � �. <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT 3ERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810-FAX 425-257-8857-www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM S AM 70 4 PM /—/� "'� <br /> SITE ADDRESS PARCEL TN(I.D.N PERMIT 11 <br /> 764 CROWN DR ooa6a�0000�soo � - v�u <br /> LEGAL LOTNO. BLOCK TR4C7 - <br /> �ESC. <br /> OWNER PDDRE3S CITY210 PHONE <br /> PA7RICK MCCLAIN 764 CROWN DR Everett 98zos 425-319-1591 <br /> TENANTNAME CONTACTFORPERMI7 PHONE <br /> INaida Khan 360-945-2787 <br /> CONTRACTOR �n/ESCO ADDRE55 CINfZIP PNONE <br /> ��� 2800 7horndyke SEATTLE 800-398-4663 <br /> cor+TR.uceNse r WASH I ES971 OB <br /> USE OF BUILDING f1EAT SOURCE CONTRACT PRICE OF WORK <br /> SFR _ei��� �Gas,_Oiher $95Q <br /> WORK DESCRIPTION <br /> REPLACE GAS WATER HEA7ER. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM HO, TYPE OF FIX7UftE OR ITEM <br /> Toilet AIC–8ir handGng units <br /> Bathtub ^ Forced eir systems <br /> _ Lavatory(wash basin) � W ter�heatar <br /> Shower — <br /> Kllchen sink&disposa� _ Gas 5replace <br /> oishwasher Gas range <br /> Clolhes washer Clo�hes dryer <br /> Laundry tray Range hood <br /> � Sink(service/badmopletc.) _ Exhaust(an <br /> Backllow praventer Heat pump <br /> Urinal !_ Unilheetef <br /> Drinking Fountain ,_ Boiler <br /> � Floord�ain Refrigeratlan <br /> Grease trap _ Woodsbve <br /> Raof drains Other <br /> Other <br /> CITY OF EVEREtt LOCAL SAlES TA%CODE IS 7105 <br /> I hcrehy ceriUly that I have read and examined thfs opplicalion and know ihe same to be true and corred. All provisions of laws and <br /> ordinacos go�erning lhis type of work will be complied with whether specifled herein or not.The granling of a permit does not presume <br /> to give authurily to violate or cancel the provislon of any other slele or local law regulating consUuction or the peAomiance of <br /> conslruction.Thal I nm aulhorized by Ihe owner o(this proparty to perfotm ihe work(or which applicalion is made a�d I cotnply wilh Iha <br /> State ConVacl�1827 RCW and 29 .200 WAG. <br /> ' 01/fd/2�1 <br /> Signalurc of Owne�Gonlracto ulh nzed Dale <br />