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�6-19-'08 11:35 FROM- T-610 P�05/�08 F-073 <br /> PERMIT APPL�CA,TiQN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 32Q0 CEDAR STREET, EVERETi, WA 982'J1 <br /> 425-257-8810—FAX 425-257-8857—w�vw.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM 6 � I � �O� <br /> SITE AD�RESS � PARCEL TAX I.D.# PERMIT# <br /> 10804 HOLLY DRIVE SOU7H 00932800000200 (� Q��J(D -�j�l� <br /> —' _ � <br /> LEGAL LOT NO. BLOCK TRACT <br /> DESG. <br /> OWNER ADDRESS CI7YIZIP PHONE <br /> RANDY STIMF'SON 10804 HOLLY DRIVE SOUTH, Everett 98204 425-327-7338 <br /> TENANT NAME I CONTACT FOft PERMIT Vf10NE <br /> Naida Khan/Norlhwest Permit Inc 360-945-27£37 <br /> CON?RACTOR WESCO Ao0RES3 . CI7Y121V PHONE <br /> CONTR.LICENSEN WASH IES971 OB 2800 Thorndyke Ave W Seattle,98199 206-378-n649 <br /> U3E OF 8U{LDING HEAf SOURCE � CONTRACT PRICE OF WORK <br /> P.esidential _E�e���. X ca5_o�he� $11,174.140 <br /> WORK DESCFZIPTION <br /> Replacing a Bryant 36K btu electric heatpump <br /> PLUh161NG MECHANICAL <br /> NO. NPE OF FIXTURE OR ITEM ND. NPE OF FIXTURE OR ITEM <br /> Toilel A/C—air handling unils <br /> Balhtub Forced air systems <br /> Lavatory(wash basin) _ Gas piping <br /> Shower Water healer <br /> Kitchen sink&disposal _ Gas freplace <br /> � Dishwasher Gae range <br /> � Clolhes washer Clolhes dryer <br /> Laundry tray _ Range hootl <br /> Sink(service/badmop/eta) Exhaust tan <br /> 6eck8ow preventer ? Heat pump <br /> � Urinal Unit heater <br /> Drinking Fountain _ Boilar <br /> Floor drain Refrigeration <br /> Greasetrap _ Woodstove <br /> Roof drains Olher <br /> Other <br /> CITY OF EVERETT LOCAL SALES TA%CODE IS 9105 <br /> 1 here� ..en6fy that I have read and examined this application and kn�w the same to be true and corred, All provisions of laws and <br /> ordine�;es governing this type of work wlll be complied vdth whether specified herein or not.The granting of a permit does nol presume <br /> lo give authority to violate or cancel the provision of any other state or loeal Iflw regulaling construction or the performanee of <br /> consWclion.That I am aitlhorized by the ovmer of this property ta periorm the work(or which application is made and I comply w�th the <br /> State Cont dors Law 1827 RCW id 296200 WAC. <br /> �� 1 i D�j <br /> Signature of Owneq ,ntractor/Aut nzed Agent Date <br /> '»�, <br /> Y.c <br />�. •_ . . . . . , . .. .. . . . . � <br />