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12-02-'10 16:36 FROM-nw permit 13609452091 T-718 P009/005 F-116 <br /> ( '. <br /> PERMIT APPLICATION <br /> CITY OF EVERE7T PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-881 D—FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �a _ � . (v <br /> SiTE ADDRESS PARCEL 7A)(I.D.M PERMIT N <br /> 2216 GRAND AVE 004391A8302500 �ll U Z:U\> <br /> LEGAL LOTNO, 9LOCK TFACT <br /> DESC, <br /> OWNER AODRESS CITYRIP PMONE <br /> HEATHER & BENJAMIN BINCKLEY 2216 GRAND AVE Everett fl8201 206-330-3963 <br /> TLNANT N�ME COHTACT FOR PERMIT PNONE <br /> (Naida Khan 360-945-2787 <br /> cONiRACTOR \A/CSCO nDDRESS CItt21P PHONE <br /> ��� (� 2800 Thorndyke SEATTLE 800-398-4663 <br /> CONTR.LICENSE M WASH I ESJ7�OB <br /> USE OF RUiLDING I ^ HEAT SOURCE cONTRACT PRICE OF WORK <br /> SFR Eleclric �Gas _,_Olher �479Q,0� <br /> WORK DESCRIPTION <br /> R[PLACE 80K GAS FURNACE <br /> PLUMSING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR IfEM <br /> Tailet AlC—aif handling units <br /> �athluG + Forced eir sys�ems <br /> Lavatory(wash basin) _ Gas piN��,g <br /> Sllower WaICf h0et8t <br /> Kilchon sink 8 disposal _ Gas freplace <br /> �~ Dishwasher Gas renge <br /> Clolhes washnr Clothes dryer <br /> laundry Irey _ Range hood <br /> Sink(sarvice/bar/mop/etc.) _ Exhausl fan <br /> � eackflow preventor Heat pump <br /> — �n112� ^ Unil healer <br /> � Drinking Foun�ain Boiler <br /> Floor drain Refripe�ation <br /> Grease trap Woodslove <br /> Roof Orains Other <br /> Other <br /> GIiY OF EVERETT LOCAL SALES TAIC COD[IS 7705 <br /> I horeby ceritify that I havo read and examined lhis applicalion and know the same to bo Itue and correcl. A�I provisions of laws and <br /> ordinnces govaming Ihis Iypo of work will be compliod wl�h whether spedfied hcrein or not The granling of a permit does not presume <br /> to qwe authority to viola�e or cancel lhe provision of any olher slala or local law repulating construcNon or Ihe peAom�anca af <br /> conslruction.Thal I am authorizad hy the owner of lhis propeAy to pe�torm Ihe work for which application is made a�d I comp�y With the <br /> State Contraclors Law 78 27 RCV�end 2fl620D WAC. <br /> �y <br /> � Z�OZ!?A(O <br /> Signalure oTbwnedConiractoq norizetl ent oate <br />