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01-07-'09 12:07 FROM- T-207 P003/004 F-998 <br /> � � <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810—FAX 425-287-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAl(I.D.M PERMIT M <br /> 1502 GRAND AVE 00475331100009 . � <br /> LEGAI LOTNO. lLOCK TRACT <br /> DESC. <br /> � OWN ADURESS CITYIIIP PMONE <br /> i <br /> JOHN TANAKA 1502 GRAND AVE EVERE7T,08201 425-252-2738 <br /> ' TENANTNAME CONTACTFORPERMIT PHONE <br /> ' INaida Khan 360-945-2787 <br /> CONTRACTORIA/ESCO ADORESS CITY2IY VHONE <br /> VY 2800 Thorndyke SEATTLE 206-378-6649 <br /> . CONTR.UCCN9E/WASH�E597�QB <br /> USE OF BUILDING HEAT SOLIRCE CONTRACT PRICE OF WORK <br /> SFR I _Eledric �,Gas�other 750.00 <br /> WORK OESCRIPTION <br /> F2EPLACING A GAS TO GAS 40 GALLON WATER HEATER <br /> PLUMBINO MECHANICAL <br /> NO. TVPE OF FIXTl1RE OR ITEM N0. TYPE OF FIXTURi OR ITEM <br /> � Toilet � AIC—air handling units <br /> � 8athlub � Forced air syslems <br /> Lavatory(wash basin) Ges piping <br /> Shower i Water healer <br /> ktchen sink 8 disposal Gas fireplece <br /> � Dishwasher Gas range <br /> Clothes washer Clothes dryer <br /> Laundry trey Rango hood <br /> Sink(servicelbar/mop/etc) Ezheust han <br /> r Backllow preventer Heat pump <br /> Urinal Unit healer <br /> '� Drinking Founlain Boiler <br /> Floor drnin Refrigeration <br /> Grease trap Woodstove <br /> Roof drains Other <br /> ^' Other <br /> �I <br /> CITV OF&VERETT IOCAL SALES iNf cOOE IS J105 <br /> I hereby ceritiy that I have read and examinetl Ihis applic2lion and know the same lo be true and corred. NI provisions ot laws and <br /> ordinaces goveming(nis type of wark will be com;:ied with whether specifed herein or noL The granling of a permit does not presume <br /> to give aulhoriry to violale or cancel the provision oi any other state or local law regulating consiruction or lhe performance of <br /> construMion. That I am authorized by the owner of this property to perform the work for which applica6on is made and I comply with the <br /> State Contractors L2w 182j�RCW and 2�J8.200 WAC. ( <br /> �'1 i � �- ( I �� d I <br /> Signature o wner tr ctorlAu�honze�i Agen�� ��D2te <br />