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f12-15-'09 13:25 FRUM-nw permit 13609452091 T-987 P002/003 F-075 <br /> l ( <br /> PERMIT APPLICATION <br /> ' CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-6810- FAX 425-257-8857-www.everettwa.org <br /> APPLICATIONS ARE ACCEPTHD FROM 8 AM TO 4 PM (�--�S�D 1 <br /> SiTE AODRESS PARCEL TAX I.D.k PERMIT N <br /> 2231 GRAND AVE 004391aszo150o - �� <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITYIZI► PNONE <br /> SHANNON f2EYNOLDS same as site address ever 98205 206-229-8647 <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> INaida Khan/Cyn�al Millhollin 360-945-2787 <br /> CONTRACTOR ��/�SCO poORE33 CITYIIIP PHONE <br /> �� 2800 Thorndyke SEATTLE 800-398-a663 <br /> coNTa.uceHSE r WASH I ES971 U B <br /> USE OF DUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> residential _E�ea��� �Gas_Other $4398.00 <br /> WORK DESCRIPTION <br /> REPLACE GAS WALL FURNACE (EMPIRE, GWT-35-2) <br /> PLUMBING MECHANICAL <br /> NO. TYpE OF FUCTURE OR ITEM NO. TVPE OF fIXTURE OR ITEM <br /> Toilet NC—air han0ling units <br /> f3alhlub � Forced air systems <br /> Lavatory(wash basinj Gas piping <br /> Shower '� Water heater <br /> Kitchen sink 8 disposal Gas 6replace <br /> Dishwasher ! Cas�enge <br /> CloUies washer Clothes dryer <br /> Laundry tray Range hood <br /> Sink(service/bar/mop/etc) Exhausl(an <br /> Backllow prevenler Heal pump <br /> Urinal Unit heater <br /> Orinkmg Fountnin �oder <br /> Floor dnin Relrigeralion <br /> � G�ease trap Woodstove <br /> Rool drains � O�hgf Wq�� F�Rrypf1� <br /> + Uther <br /> CIN OF C-VERETi LOCAI SALES TAX CODE IS 7105 <br /> I hereUy ceriliry fhat I have reatl and examinetl this applicalion and know t�e same to be Irue and correct. AI�prov�sions of laws and <br /> ordinaces ga�ern�ng this rype ot v+o�k win be mmpl�ed wi�h�ti�hether spedfietl herein or noL The grenting of a permit docs not presume <br /> to give aulhonh to�iolate or cancel the provision of any olher state or local law regulating ennstruUion or lhe periormance o( <br /> construdion. That I am au�hori¢ed by the owner oI�his property to peAorm Ihe work for wliich applicalion is made and I wmpiy with the <br /> State ConUactors Law'`�����7 RCW and 2fl6200 WnC. <br /> �lti'�'�ti.ic�.l�'\_. � .0 `� �i O <br /> ignawrc of O�me C ntractor/ ut onzed Apent a e <br /> i <br />