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r . <br /> .` <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810– FAX 425-257-8857–wwvv.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM v —(O —II <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 2308 LOMBARD AVE 00439149302800 –CX� <br /> LEGAL LOT NO. BLOCN TRACT <br /> DESC. <br /> OWNER ADDRESS QTY21P FHONE <br /> CINDY & MIKEL GOBEL SAME AS SITE ADDRESSS everen se2o� 425-388-0278 <br /> TENANTNAME CONTACTFORPERMIT PHONE <br /> INaida Khan 360-945-2787 <br /> CONTRACTOR \A/ESCO ADDRESS dN21P PHONE <br /> �� 2800 Thorndyke SEATTLE 800-398-4663 <br /> CONTR.LICENSE#WASHIES97 I OB <br /> USE OF BUILDING HEAT SOURCE I CONTRACT PRICE OF WORK <br /> SFR I _Electric ��as_other 3125.00 <br /> WORK DESCRIPTION <br /> REPLACE GAS WATER HEATER W/ 10' GAS PIPING & 5' EXTENSIONS TO WATER <br /> LINES <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet _ A/C—alrhandling units <br /> Bathtub Forced alr systems <br /> Lavatory (vrash basln) ? Gas piping <br /> Shower � Water heater <br /> Kttchen sink&disposal _ Gas firep�ace <br /> Dishwasher _ Gas range <br /> Clothes washer _ Clothes dryer <br /> Laundry tray _ Range hood <br /> Sink(service/barlmopfetc.) _ Exhaustfan <br /> BacMlo•,v preventer _ Heat pump <br /> Urinal _ Unit heater <br /> _ Drinking Fountain _ Boiler <br /> Floor drain _ Refrigeration <br /> Greasetrap _ bVoodstove <br /> Roof drains _ Other <br /> � Other eztensionslowatedines -�� _ <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby cerftify that I have read and examined this application and knowthe same to be true and correct. All prwisions of laws and <br /> ordinaces governing this type of work will be complied with whether specified hereln or not The granting of a permit does not presume <br /> to give authority to violate or cancel the provision of any other state or Iocal law regulating eonstruction or the performance of <br /> construction. That I am authorized by the ovmer of this property fo peAorm the work for which application is made and I comply wRh Ihe <br /> State Contractors Law 1827 RCW and 296200 WAC. <br /> Signature ot OwneUContractor/.4uthorized Agent Date <br />