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r , <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857—�nnvw.evereriwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ({.�a 3 �� <br /> SITE ADDRESS PARCEL TAX I.D.N PERMIT N <br /> 7513 HEATNER WAY o05942ooaoolo� l�0 —��f <br /> LEGAL LOT NO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS pTV21P PHONE <br /> MICHAEL GILL SAME AS SITE ADDRESSS everett se2os 425-348-4257 <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> INaida Khan 360-945-2787 <br /> CONTRACTOR \��ESCO ADDkE55 CITV2IP PHONE <br /> �� 2800 Thorndyke SEATTLE 800-398-4663 <br /> CONTR.LICENSE N�n/AS H I ESg71 OB <br /> vv <br /> USE OF BUILDING HEAT SOURCE I CONTRACT PRICE OF WORK <br /> SFR _Electric �Gas_Other $75� <br /> WORK DESCRIPTION <br /> REPIACE uAS WATER HEATER. <br /> PLUMBING MECHANICAI <br /> NO. TVPE OF FIXTURE OR ITEM NO. TVPE OF FIXTURE OR ITEM <br /> Toilet A/C—alrhandling units <br /> Bathtub Forced alr systems <br /> Lavatory (wash basln) Gas piping <br /> Shower i Watet heater <br /> Kitchen sink&disposal _ Gas fireplace <br /> Dishwasher Gas range <br /> Clothes washer Clothes dryer <br /> Laundry tray _ Range hood <br /> Sink(servicelbadmap/etc.) _ Exhaustfan <br /> Backflow preventer _ Heat pump <br /> Urinal _ Unk heater <br /> Drinking Fountain _ Boiler <br /> Floor drain Refrigeration <br /> Grease trap _ Woodstwe <br /> Roof drains Other <br /> Other - <br /> qTY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certtify that I have read and examined this application and knowthe same to be true and correct. All prwisions of laws and <br /> ordinaces governing thistype of work will be complied with whether specified hereln or not.The granting of a permit does not presume <br /> to give authority to violate or cancel the provislon of any other state ar Iocal law regulating mnstruction or the pertormance of <br /> construdion. That I am author(zed by the owner of this property to peAorm the work for which application is made and I comply wtth the <br /> SYate Confrar.fnrrc 1 aw�$.27 RCW and 296.200 WAC. <br /> /;�_ . 4/22/11 <br /> ���{ <br /> S gnature ot OwneUContractor/Autharizetl gent ate <br />