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D7-05-'11 89:47 FROM-nw permit 13fi09952091 T-633 P0�2/003 F-147 <br /> �. . <br /> PERMIT APPLICATION <br /> CITY OF EV�RETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810— FAX 425•257-8857—www.everettwa.org <br /> APPLICATfONS ARE ACCEPTED FROM 8 AM TO d PM <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT N <br /> 340 HEATHER RD 00584900300100 �U`� -DU j <br /> LEGAL LOTNO. BLOCK TRACT <br /> OESC. <br /> OWNER ADORESS CITY2IP PHONE <br /> KEN STI�LWELL 340 HEATHER RD everetteszos 206-604-7156 <br /> TENANT NAME CONTACT FOR PERMIT VHONE <br /> INaida Khan 360-945-2787 <br /> CON7RACTOR 1A/ESCO ADOHE55 CITV/YIP PHONE <br /> �� 2800 ThorndyN;e SEATTLE 800-398-4663 <br /> CONTR.LICENSE 6�A�ASH(ES97�OB <br /> VY <br /> USE OF BUILUING HEAT SOURCE � CONTRACT PRICE OF W�7RK <br /> SFf2 _Electric �Gas_other f $11970.00 <br /> WORK DESCRIPTION <br /> REPLACE 2 OIL TO GAS 80K FURNACES. 1 WITH 30' GAS PIPING; 1 WITH 10' GAS <br /> PIPING. <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF PI%TURE OR ITEM NO. TYPE OF FIXTIIRE OR 17EM <br /> Toilet FVC—air handling u�:. <br /> Bathtub ? Forced air systems <br /> �— L'dvalory(wash basin) ? Gas piping <br /> Shower Water hes�er <br /> I<ilchen sink&disposal Gas fiieplace <br /> Dishwasher Gasrange <br /> � Clolhes washer Clolhes dryer <br /> Laundry tray Range hood <br /> Sink(servicel6arlmopletc.) Ezhaust fan <br /> 8ackllow prevenlar Heat pump <br /> Urinal Unit healer <br /> Drinking Fountain Boiler <br /> Floor drain Refrige�alion <br /> Grease trap � Woodslove <br /> Roof drains Other <br /> Other <br /> CITV OF EVERETT LOCAL SALES TAX COOE IS J105 <br /> I hareby ceritify thel I hove roatl a"�examinod this applicalion and know lhe same to be true and correcl. All provisions of laWs and <br /> ordinaces governing this lype of wGrA will be Complied Wi�h whetlter speCified herein or not.The granting ot a permil does not preyume <br /> to give authonty to violate or cancel;he provision oi any olher state or local law regulatlng constmefion or the peAormance ot <br /> conslruction.That I am authorized by Ihe owner of this ptopeAy t0 pertorm the work for which applicalion is maAe and I comply with the <br /> Slate ContfActors Law 18.27 RGW and 296200 WAC. <br /> �� G'1/c-7a/Zo� I <br /> Signalure of OwnedConVector/ ulho¢e enl Date <br />