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02-15-'08 15:24 FROM- <br />SITE ADDRESS <br />1808 MADISON ST <br />LEGAL I.OT NO. <br />JENNIFER GADD <br />TENANY NAME <br />CONTRACTOR wESCO <br />PERMIT APPLICATION <br />CITY OF EVEREl�'T PERMI7 SERVICES <br />3200 C[DAR STREET, EVERElT, WA 98201 <br />425-257-8E310 — FAX 425-257•8857 — www.evereltwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. # <br />280507001003D0 <br />BLOCK TRACT <br />1808 MADISON ST, Everett 98203 <br />CONTR.LICENSE# WASHIES97106 <br />USE OF BUILDIPIG <br />Residential <br />CONTACT FOR PERMIT <br />Naida Khan/Northwest Fermit Inc <br />ADORE53 <br />T-263 Pa03/BE3 F-493 <br />a -►a .6� <br />PERMIY # <br />,(V�0`6o'a -�� <br />425-327-4406 <br />PHONE <br />360-945-2787 <br />CIN/ZIP PHONE <br />2800 Thorndyke Ave W seanie, �J8199 206-378-6649 <br />HEAT SOt1RCE <br />_ Electric X Gas _ Othe� <br />WORK DESCRIPTION <br />Replacing a gas to gas 40 gallon water heater <br />NO, I TYpE OF FIXTURE OR ITEM <br />Toilet <br />� Ba�htub <br />Lavatoiy (wash basin) <br />Shower <br />Kitchen sink & disposal <br />oishwasner <br />Clothes washer <br />Laundry lray <br />Sink (serviceNadmop/elaj <br />BackOow prevn.nle� <br />Urinal <br />Drinking Fountein <br />� Floordrain <br />Grease Vap <br />Roof drains <br />Oiher <br />CONTRACT PRICE OF WORK <br />$950.00 <br />NO. � TYPE OF FIXTURE OR ITEm <br />A/C — air hanUlinp units <br />Forced air systems <br />Gas piping <br />Waler heater <br />Gas freplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaustf�n <br />Hea� pump <br />Unit heater <br />6oiler <br />Refric�eration <br />Woodstove <br />Other <br />CIN OF EVERETT LOCAL SAlES TIU( CODE IS 3705 <br />I hereby ceri�ity that I have read and examined this application and know the sar�e to be irue and carreM. All provisions of laws and <br />ordinaces goveminfl this type oF wotk vnll be complied v✓ith whether specifietl herein or noL The granling of a permi( does not presume <br />lo glva authority to violate or cancel the provi,ion of any olher slate or bcai iaw regulating consvuction or the pedormance of <br />construction. That I am aulhorized by Ihe ovmer o( Ihis property to perform tlie work (or which applica(ion is made and I comoly with the <br />Stale Coniractors Law t�7 RCW and 206.200 WAC. � <br />�/�,2����.i1(-Q�,G._ �-�b l �� 2-�� <br />