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l�3-17��- lt� 1�: 21 FRuh1- T-�25 P002/G�02 F-559 <br /> PERMIT APPLIGATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 C[DAR STREET, EVERETT, WA 98201 <br /> 425-257-8810—FAX 425-257-8857—wvnv.everettwa.org <br /> ApPLICATIONS AP.E ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCLL TAX I.D,iJ PERMIT# <br /> 1334 LOMBAR� AVE ooa5o624901800 M� �� co� <br /> LEGAL LOT NO. pLOCI( TRACT <br /> D[SC. <br /> OWNER ADDRE55 CITYIZIP 1'HONE <br /> PATRICK CULLEN 1334 LOMBARD AVE ev��erT.aszo, 4?_5-239-2719 <br /> 7ENANTNAME CONTACTFOItPERM1T PHONE <br /> Naida Khan 360-945-2787 <br /> CONTftACTOR �A/ESCO ADDRGSS cirnzir vFiowe <br /> cONTR.LICENSEp 2800 Thorndyke SEATTLE 206-378-664J <br /> WASHIES971 OB <br /> USE OF BUILDING HEAT SOURCE CONTRACT?RICE OF WORK <br /> SFf� I _,electric �Gas,.,_Olher I 750.00 <br /> WORK DGSCRIPTION � <br /> REPLACE GAS TO GAS 50 GALLON WATER HEATER <br /> PLUMBING MECHANlCAL <br /> N0. iVV�OF FIXTUR[OR�TEM N0. TYPE OF FIX7URE OR ITE�n <br /> Toilet A/C—air handliny units <br /> � Balhtub Forcadairsystems <br /> � Lavamry(wash basin) � Gas pipinp <br /> Showar i Walel'healer <br /> Kitchen sink 8 disposal � Gas 6replace <br /> �ishwasher ` Gas renge <br /> � Clothes washer Clothes dryer <br /> Laundry tray Range hood <br /> Sink(sOrvic2/badmop/elc.) � Exhaust fan <br /> 88Ckllow preventer Heat pump <br /> Urinal Unit hea(er <br /> Drink�ng Fountain �oiler <br /> Floor drain Re(nperation <br /> Grease trap Woodstova <br /> � .Zoof drains Olher <br /> Olher <br /> CITV OF EVERET7 LOCAL SAlES TAX CODE IS 3105 <br /> I hereby cerilify that I have reatl and examined lhis apptication and know lhe same lo be irue and Correct. All provisions of laws and <br /> � ordinaces governing Ihis type cf work will be complietl with whether specified herein or not. The granlinc� of a permit tloes nct pfesume <br /> lo giva authonty to violale or cancel the provision o(any other stata or loasl law regWating wnslruction or the performance of <br /> ConStruclion Tha�I em authonzed by lhe owner of Ihis propeitY�o pedorm lhe work tOt whieh application is m�de and I comply wilh Ihg <br /> Stale Contr c�rs Law 18.^ RCW 2nd 296200 WAC. <br /> � � � � � � . <br /> Sigi�Owner o Iractor/Authorized Aqent Date <br />