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. <br /> PERMIT �4f�PLlCA�'ION � <br /> � �17Y OF EVERETT PERMIT SERVICES <br /> � 9200 CCDAR STREET, NERETT, WA�J�^01 <br /> 425-257-8810—FAX 425-257•8857—www.everethva.org <br /> �`•�,�G.; APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM y �J 6 —O� <br /> SITE ADDRESS . PARCEL TAX I,D.# PERMIT# <br /> �0B1"0 HOLLY DR - Unit B 00932800000200 �""S' ;�- ' ,, _ <br /> LEGAL LOTNO. BLOCK TftACT <br /> DE9C. <br /> OYVNER ADDRESS rITY21P PHONE <br /> NGUVEN TP.UNC (7en�nCMARKnNOERSON) 10610 HOLLY DR- Unit B, EVCfC� 98203 425-265-0122 <br /> TENANT NAME CONTACT FOR PERMIT PHONE — I <br /> N�ida Khan/Northwest Pcrmit lnc 360-945-2737 <br /> CONTRACTOR WESCO ADDRESS CITY(ZIP 7HONE I <br /> CONTRLICENSEE WASHIES9710B z800 Thomd�lcP Ave W seatt�e, 98199 206-378-6649 <br /> USE OF BUILOING HEAT SOURCE CONTRACT PRICE OF WORK <br /> Residential _E�e���� X�as,_ Other �950.�� <br /> WORK DESCRIPTION <br /> Replacing 1 gas to gas 50 gallon water heater <br /> � PLUMBING MECHANICAL I <br /> N0. TYaE OF FlXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet FVC—air handling units <br /> 6athtub �� Forced air systems <br /> Lavatory(wash hasin) Gas piDinp <br /> Shower � Waterheeter <br /> � Kitchen sink&disposal _ Gas firepiace� <br /> ` Dishwasher Gas range <br /> Glolhes washer Clothes dryer <br /> Laundry tray Range hocd <br /> Sink(service/badmop/elc.) txhoust fan <br /> � Backliow prevenfer tieat pump <br /> � Urinal Unit heater <br /> Drinking Fountain Bciler <br /> � ci..,.,d.,:.. - o...�e_"''-- <br /> C.........�...�. W��J.�.... <br /> � Rootdrains � Oiher <br /> OthPf <br /> GITY OF EVERETT LOCAL SALES TAX CO�E IS 9t05 <br /> � I hereby ceritify that I have read and examined lhis appiication and know the same to be we and correa. All provleions of!aws and <br /> , urdina�z�yuvc�niny ILis lype vf wvrk will be complied v+ith whether specliletl he21n or nat 7he granting ot a peRnit Ooes not presume <br /> � lo giva authodty to vioiate or cancel the provision of any other state or locel law regulatlng construalon or the performance o( <br /> construction 7hat I am authonzed by the owner of this property to perform the Vrork for which application is made and I wmply w;h the <br /> Etate Controotoro Law 1B�7 RCW and 29G200 WAG. <br /> ��v 4� <br /> Sipnanvn f . nr : ntrart�r utnonzea Agent � Dato <br />