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02-12-'10 11:16 FROM-nw permit 13609452091 T-079 P002/002 F-2G6 <br />PERMIT APPLICATION <br />CITY OF EVEREi'T PERMIT SERVIC�S <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - F�AX 425-257-8857 - v✓Vvw.everettwa org <br />APPUCATIONS ARE ACCEPTED fROM 8 AM TO 4 PM <br />SITE ADDRESS <br />�31 MADISON ST <br />LEGAL LOT NO. �� BLOCK <br />DESC <br />OWNER <br />f�ENNIS ANDERSON <br />7ENANTNAME„ <br />CONTRACTOR \A/ESCO <br />VV <br />CONTR. LICENSE p�AfASHIES9! � OB <br />VV <br />USE OF BUILOING <br />residenlial <br />WORK DESCRIPTION <br />PARCEL TAX I.D. S <br />28050600301900 <br />TRACT <br />same as site address <br />CON7ACT FOR PERMIT <br />Naida Khan/Cync <br />ADDRESS <br />2800 Thomdyke <br />� —S <br />PERMIT # <br />ever982o3 425 931-8381 <br />PI10NE <br />I Millhollin 360-945-2787 <br />HEA7SOURCE <br />_ Electric � Gas _ Olher <br />REPLACE GAS 50 gallon hot water heater <br />NO. I 7YPE OF FIXTIJRE OR ITEM <br />Toiiet <br />Bathtub <br />lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Oishwnsher <br />Clolhes xasher <br />Laundry Uay <br />Sink (seNice/bar/map/etc.) <br />�ack0ow preventer <br />Urina� <br />Drinking Fountain <br />Floor drain <br />Gre�se Uap <br />Raof dreins <br />other <br />C[�7 <br />CITYIZIP PI{ONE <br />SEATTLE 800-398-4663 <br />CONTRACT PRICE OF WORK <br />$950.00 <br />7YPE OF fIXTURE OR IT'eM <br />A/C — air handling unils <br />Farced 2ir systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gasranpe <br />Clothes dryer <br />Ranpe hood <br />Exhauslfan <br />I�zal pumP <br />Unit heater <br />Boiler <br />Re(rigeraGon <br />:^,'ocds!ove <br />CIIY OF EVERETT LDCAL SALES 7AX COOE IS 9105 <br />i hereGy ceritify that I have read and examined Ihis application and know the same to be true and wrrcct. Ali provisions of lavrs and <br />ordinaces governin� this type of work will �e complied wilh whelher specified herein or not. The c�ranling of a permit does not presume <br />tn yive authority to violete or c2ncel the pro�sion of any other slate or lacal law regulating ccn5trucLon or the performance of <br />conslruction, That I am aulhorized 6y the owner of lhis property lo pertorm lhe work tor which application is made and I com0'Y'l+�th lhe <br />State Contracrors /L� 18.27 CW and�6V200 WAC. Z I I � I I� <br />! � <br />