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52-u�='�-' 11 15:17 FROM-nw �ermit 1361�9952091 I-0'S F11�2/003 F-5�5 <br /> PERMI,�' APP'LICATIO�I <br /> CITY OF EV�RETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 49F-9Ci7 ani f1 FAX 4?F 9F7-SR�i7—wwW BVBfBlNJB.Ofq <br /> APpLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDF2ES:� PARCEL TAX I,D.# pERh11T k <br /> 2306 LOMBARD AVE OOA39149303000 � 2 -/� <br /> LEGAI LOTP10. BLOCK TRACT <br /> �ESC. <br /> OWNER AOORESS CITY2IP PMONE <br /> ALAN CARIVES 2306 LOMBARD AVE Everett ss2o1 425-350-4803 <br /> TENANT NanaE CONTACT FOR PERMIT PHONE <br /> Naida Khan 360-945-278 t <br /> CON7RACTOR ,/�''CQCO AO�RESS CITY2�P PHONE <br /> V V GV Zg00 Thorndyke SEATTLE II00-398-4663 <br /> cor+Te.uceNsea WASH�ES971Q(3 <br /> USE OF BUILUING HEAT SOURCE CONiRACT PRICE OF WOftY. <br /> SFR _Eie�i��� �LGas_Other $750 <br /> WORK�ESCRIP710N <br /> REPLACE GAS WATER HEATER. <br /> PLUMBING MECNANICAL <br /> NO. TYPE OF FI%TURE OR IYEM NO. 7YPE OF FIX'i URE OR IYEM <br /> Toiiet _ NC-air handliny unils <br /> Balhtub _ forced air systems <br /> � Lavalory(wash basin) _ Gas pipinq <br /> Shower � Waler healer <br /> Kitchen sink&disposal Gas fireplace <br /> Dishwasher _ G25tange <br /> � Giotheswashor Clothesdrysr <br /> Laundry��ay _ Range hood <br /> Sink(service/Gadmopletc.) Exheust fan <br /> BackBow prevanler _ Heat pump <br /> — Urinal Unit heater <br /> Drinking Fountain _ 8oiler <br /> Floor drain _ Refrigsration <br /> Graase trap Woodstove <br /> Rootdrains _ Olher <br /> Olher <br /> GITY OF EVERETT LOCAL SALES TAX CO�E IS 7105 <br /> I hereby e,aritiry that I have read and examined Ih�s application 2nd know the same to bo lrue and corred. Ad nrovisions of iaws and <br /> ordinaces govemin�7 Ihis lype of work will 6e complied with whethor sp¢cified herein or nol.The grantfnp of a�e:mit does not presume <br /> to give aulhority lo violato or cancel lhe provision of any othe�stale or local law regulaling cnnslruclion or the peAormance o( <br /> construction.Thal I am autho�ized by lhe ownet of lhis property to pertorm ihe work far which app!itetlon is made�aad I comply with the <br /> Stute Conlractors l.aw 18.27 RCW and 2962o0 WAC. p, �j�� <br /> � _—Jf" QZ��CJIl�..�� � <br /> Signaturo of OwncdContractod/�Ci on¢ed�c enDj Dale <br />