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11-22-'11 14:23 FROM-nw permit 13609452891 T-049 P005/006 F-608 <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425.257-8657 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM 11 a'3 At — <br />SITE ADDRESS <br />PARCEL TAX I.D. a <br />PERMIT a c�- <br />8015 HAMLET LN <br />00691100003000 <br />-9 0 <br />LEGAL LOT NO. <br />BLOCK <br />TRACT <br />DESC. <br />CITY2M <br />ORLANDO & JENNIFER RIVERA <br />8015 HAMLET LN <br />Everott98203 425-356-2605 <br />TENANT NAME <br />CONTACT FOR PERMIT <br />INaida <br />PHONE <br />360-945-2787 <br />Khan <br />CONTRACTOR WESCO <br />Y1I <br />ADDRESS <br />2800 Thorndyke <br />CITYIZIP PHONE <br />SEATTLE 800-398-4663 <br />CONTR. LICIINai a WASHI ES971 OB <br />USE Of BUILDING <br />HEAT SOURCE <br />CONTRACT PRICE OF WORK <br />SFR <br />_ Electric 1L Gas_ Other <br />1$7974.81 <br />WORK DESCRIPTION <br />INSTALL DAIKIN MINI SPLIT DUCTLESS HEAT PUMP SYSTEM. <br />PLUMBING <br />MECHANICAL <br />NO. I TYPE OF FIXTURE OR ITEM <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />_ Toilet <br />_ Bathtub <br />Lavatory (wash basin) <br />Shower <br />_ Kitchen sink & disposal <br />_ Dishwasher <br />Clothes washer <br />Laundry tray <br />_ Sink (servioe/bar/m0pletC.) <br />_ Backlow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease bap <br />_ Roof drains <br />Other <br />_ A/C - air handling units <br />_ Forced air systems <br />_ Gas piping <br />_ Water heater <br />Gas fireplace <br />Goa rage <br />_ Clothes dryer <br />_ Range hood <br />Exhaualtan <br />t Heat pcmo <br />_ Unit healer <br />_ Soler <br />_ Re"ration <br />_ Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE le 3106 <br />I hereby cerhify that I have reed and examined this application and know the some to be true and correct. All provisions of laws and <br />ordinaces governing this type of work will be complied with whether specified heroin or noL The granting of a permit does not presume <br />to give authority to let or cancel the provision of any other state or local law regulating oonstruction or the performance of <br />construction. That a thorized by the qwner of this property to perform the work tot which application is made and I comply with the <br />State Contractors L 27 RCW and 29 .200 WAG. \ 1 a I I <br />