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05-15-'07 16:31 FROM- T-156 P002/006 F-275 <br /> CITY OF EVERETT PERMIT �ERVICES 6 N <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> G25-257-8810- FAX 425-257-8857-www.everettWa.org <br /> APPUCATIG��S ARE ACCEPTED FROM 8 AM TO 4 PM __ _ _ <br /> — _ _ _ ----------- _.-------_—_...._.—___ <br /> — -- ----- -_ - ---- -- -- ----- PERMIT� <br /> SI7E AooRESS PARCEL TAX I.D.q <br /> 1431 Lombard Ave 00475428801500 � l7Z <br /> LEGAL L0Y NO. �IOCK TRACi <br /> oesc. LOTS 15 &16 BLK 288 D-00 HILTONS 2ND ADD TO EVERETT <br /> OWNER � A�OREeg GITYRIP PHONE <br /> Merlin Verhoeven 1431 Lombard Ave Everett 98201 425-252-3807 _ <br /> TENANT NAME CONTf,CT FOR PERMiT PHONE <br /> (Melissa Croda 360-945-2787 <br /> CONTRACTOR WESCO ADDRE55 CIN/ZIP VHONE <br /> 2800 Thorndyke SEAl'TLE 206-378-6649 <br /> CONTR.LICENSE#WASHIES9T� OB <br /> USE OF 9UILDING I — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> SFR E�ectric �Gas_other 750.00 <br /> WORK DESCRIPTION <br /> Replace gas to gas 40 gallon 40,000 btu water heater <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. NPE OF PIXTURE OR ITEM <br /> Toilet _ PJC-air handling units <br /> Bathtub _ Forced air systems <br /> _ Lavalory(wash basin) _ Gas piping <br /> Shower � Water heater <br /> Kitchen sink 8 disposal _ Gas fireplace <br /> � �ishwasher Gas range <br /> Clotheswasher _ Clothesdryer <br /> laundry tray _ Range hood <br /> Sink(servicelbar/mop/etc.) _ Exhausl fan <br /> Backflow prevenler __ �He2t pump <br /> Urinal _ Unilheater <br /> Drinking FouNain _ 8oiler <br /> Floordrain _ Refrigerelion <br /> � Grease Vap _ Woodslove <br /> Foof drains Other <br /> Olher — <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS J106 <br /> I hereby centlfy lnat I have read and examined this applicalion and know lhe same to be lrue and corred� /��provisions of laws and <br /> ordinaces goveming ihis type of work will be complied with whelner spocifed harein or nol The granting of a permit does not presume <br /> to give aulhonty to violate or cancel the provision of any other state or local law regulating construction or lhe performance of <br /> construction. That I am authorized by the owner oi this property to perform the work for which appli^aVon is made and I comply with the <br /> Stale Contractors Law 18.27 RCW and 206.200 WAC. <br /> 9.Gs2' .� S /�S �7 <br /> Sic�nature ol Ovmer/ ontrador/Authorized AgeN ate <br /> M��� � ��� <br />