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a6-11-'08 11:34 FROM- T-610 P002/008 F-�75 <br /> � <br /> PERMIT APPLIGATION <br /> CITY OF EVERETT PERMIT SE,RVICES <br /> 3200 CEDAR STREET, EVERETT, WA�8201 <br /> 425-257-8810— FAX 425-257-8857 —www.evereflwa.org <br /> APPUCATIONS ARt ACCEPTED FROM 8 APA 70 4 PM b '"I�"D U <br /> SITE ADDRESS PARCEL TN(I.D.# PERMIT# <br /> 1419 �OMBARD AVE 00475428800900 Tr����j - O � <br /> LEGAL LOT N0. BLOCK 7a4C7 <br /> oesC. <br /> OWNER AODRE55 CINIZIP PHONE <br /> KEVIN GILLIHA�A 1419 LOMBARD AVE, Everett 9820�1 425-870-0258 <br /> � TENANT NAME I CONTACY FOR PERMIT . PHONE <br /> Naida Khan/Northwest F'ermit Inc 360-945-2787 <br /> CONTRACTOR WESCO A�DRESS CITYIZIV PHONE <br /> CONTR.LICCNSEM WASHIES971 OB 2800 Thorndyke Ave W seanie, 98199 206-378-6649 <br /> USE OF Bl11LDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> Residential _��e�ri� X Gas_,Other $10,�89.�� <br /> WORK DESCRIP710N <br /> Replacing 1 70K btu gas furnace, 1 electric to gas Rheem water heater, and <br /> 4 gas piping outlets for: furnace, water heater, bbq and range <br /> PLUMBING MECMANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF PIXTURE OR ITEM <br /> 7oilet A/C—air handling units <br /> Balhlub � Forcedairsystems <br /> Lavalory(wash basin) a Ges piping <br /> Shower � Wa(erheater <br /> Kitchen sink&disposal Gas firep�ace <br /> Dishwasher � Gas range <br /> Clolhes washer Clolies dryer <br /> Laundry lray Ranae hood <br /> Sink(servicelbar/mop/etc.) Exhaust fan <br /> BackOow prevenler ' Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain Boil6r <br /> Floor drain Rehigeratlon <br /> � Graase lrap Y Woodstove <br /> Roof drains Ofher <br /> =I Olher = _ <br /> cliY OF EVERETT L�CAL SALES TAX CODE IS 9705 <br /> I hereby cerilify that I have read and examined this application and know the seme t�be true and correct. All provisions of iaws and <br /> ortlinaces goveming this rype of�,wrk will be wmplietl vnlh whelhar specified herein or not.The granling of a permit does not presume <br /> to give authority to violate or cancel the provision of any other slate or local law regulalinet wnsW clion or the performance o( <br /> conslruc�ioa That I am authorized by the owner of this property to perform the work for vMich opplication is m:�c and I comply with lhe <br /> S1ate ConUactor Law 18.27 RCW an 90"200 WAC. <br />� Q-r 0� �� �g <br /> '� ignature of Owner/Con Aul �ed A9ent �aU. <br /> I <br />