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c t <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 GEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810-FAX 425-257-8857-www.eve�ettwa.org <br /> APPLICAT10N5 ARE ACCEPTED FROM 8 AM TO 4 PM 7 _ � `3—�D <br /> SITE ADDRESS 7ARCEL TA)( I.D.# PERMIT M <br /> 4815 ELM ST 00449500010900 \ l7p'�-•-C�15 <br /> LEGA LOT N0. 9LOCK TRACT <br /> DESC. <br /> pWNER ADORESS CITY/DP PHONE <br /> KAREN KLAMM 4815 ELM ST tverett yazu3 425-252-6515 <br /> TENANT NAME CONTACT FOR PERMIi PHONE <br /> Naida Khan 360-945-2787 <br /> CONTRACTOR WESCO ADDRESS GI7Y217 PHONE <br /> 2800 Thorndyke SEATTLE 8Q0-398-4663 <br /> coNrn.uceNse:WASHIES971 OB <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> SFR _e�ect�c �Gas_Other $950.00 <br /> WORK DE3CRIPTION <br /> REPLACE 50 GALLON G/1S W/�TER HEnTER <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIJ(TURE OR ITEM N0. TYPE OF fl%TURE OR ITEM <br /> Toiiet A/C-air handling units <br /> Belhtub Forced air syslems <br /> Lavatory(wash basin) r,a�n�n��o <br /> _ Shower i Water heater <br /> _� Kitchen sink 3 disposal � Gas firep�ace <br /> _ Dishwasher Gas ranpe <br /> Clothes washer Clothes dryer <br /> Laundry tray � Range hood <br /> Sink(service/barlmopletc.) Exhaust fan <br /> � BackBowpreventer � Heatpump <br /> Urinal � Unit heater <br /> Drinking Fou�tsin Boiler <br /> Floof tlt91n Refrlgeratlon <br /> Grease lrap Woodstove <br /> Roof drains Other <br /> _ OU�ei <br /> CITY OF EVERETT IOCAL SALES TAX CODE IS J705 <br /> I hereby ceritity that I have read and examined this application and knaw the same lo be true and cortrd. All provisions of laws and <br /> ordinaces goveming this type of work wili be complied wilh whether spedfed herein or noL The granling oi a perrnit tloes not presume <br /> to give aulhority to violate ar cancel the provision of any other state or loeal law regulating construction or the periormance of <br /> cOnstnlplon,That I am authoriz2d�y ihe owner af this pruaerty ta perf rtn the wotk for whieh appliWtion is made and I Comply with the <br /> Steie COO1faCtcfS LdW 18.27 286.200 WAG. <br /> �"� l l� <br /> Slgnature G(OwneUCC t Gt dAutho�ad Agent Ootc <br />