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SITE ADDRE35 <br />507 Madison St <br />LEGA lOTNO. <br />Richard Thomas <br />TENqNTNAME . <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />320D CEDAR STREE7. CV�RETT, WA 9II201 <br />425-257-8810 — FAX 425-257-8857 — www,everetlwa.org <br />APPLICATIONS AR6 i1CCpPTED FROM 8 AM TO 4 PM <br />L3t•Za:i <br />CONTRACTORIA/ESCO <br />VV <br />CONTR LIGENSE � WASH I ES971 OB <br />USE OF BUILDING <br />SFR <br />WORK D[SCRIPTION <br />PARCEL TAX I.D. # <br />28U50600300800 <br />TRACT <br />6D7 PAadison St <br />CONTACT FOR PERMIT <br />Naida Khan <br />ADDRESS <br />2800 Thorndyke <br />���r�cc �s2aa 425-355-8627 <br />PHONE <br />360-945-2787 <br />CITY2IP PHONE <br />SEATTLE 800-398-4463 <br />WG/�TSOURCE GONTRACT PRICE OF WORK <br />_Eledric �Gas�Other I $95�_On <br />REPI.ACE 50 GALION GAS WATER HEATER <br />N0. I NPE OF FIXiURE OR ITEM <br />„ Balhtub <br />� Lavatory (wash basin) <br />_ Shower <br />,�, Kitchen slnN 8 disposal <br />� Dishwasher <br />_ Clothes washer <br />_ Laundry tray <br />` Sink (service/har/mop/otc.) <br />� Backflow preventer <br />Urinal <br />_ Orinking Fountain <br />Flaor drnin <br />Oreasn bap <br />Roof drains <br />_ Other_. _ <br />NO• I IYPEOFFIXTUREORITEM <br />A/G — 31� ha0dliflg Utlits <br />Forced airsyslems <br />Gas piping <br />waier nea�er <br />Gas fireplece <br />Gas range <br />Clothes dryer <br />Rangehood <br />Exhaustfan <br />Huatpump <br />Unit heater <br />Boiler <br />Refriperafinn <br />Woodstove <br />Olher <br />CIiY OF EVERETT LOCqL 7ALE$ TAX COpE IS 5103 <br />I hereby ceritify that I have read and examined Shls applicafion and know the same to be Vue and corcect. AII provisions of laws and <br />ordinaces governing Ihis type af Wotk �ill be Complied with whelher spedfiPd herein or not. 7he grsnting of o permit does not presurne <br />ro gtve authonry to viotate acwncel the provision of any other state or loral law regulating construction or the performance of <br />construcfion. 7hat I am a��thorized by the owner of this propehy to perfarm Ute work for which applicntion is made and I compiy with the <br />State ConVaclors Law 8.27 RCW e 96,200 WAC. ^�� J/`,,�j <br />�iuiiBlllfEO OWt�Bf/.(fn�rar.I�rt/G�iil7�nrnenA�nnr ��L t— / <br />