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To E Pa9e 6 ot i5 <br />SITE ADDRESS <br />4904 HARBOR LN <br />LGGA LOT NO. <br />UESC <br />'.015�09�24 22 17�.55 (Ghtl� <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www everettwa org <br />MARGARET BAVASI <br />TENANTNAME <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO d PM <br />BLOCK <br />PARCEL TAX I.D. # <br />00417100002000 <br />TRACT <br />aooaess <br />4904 HARBOR LN <br />CONTACi FOR PERMIT <br />Naida Khan <br />coNTaacroR Washinc�ton Energy Svcs Co, LLC Aooaess <br />3909 196th St SW <br />coNTa.uceNsea WASHIES851 NS <br />USE OF BUILDING <br />SFR <br />WORK DESCRIPTION <br />REPL.ACE GAS WATER HEATER. <br />�Pa <br />� <br />TYPE OF FIXTURE OR ITE�A <br />Toilel <br />Oathtub <br />Lavatory (wash bas�n) <br />Sho.ver <br />Kitthen sink S disp'�sal <br />Dishwa,her <br />ClMhes washe� <br />Laundry lray <br />Smk (scrwce�bar/mop!cic ) <br />E3ackllow pieventcr <br />Unnal <br />Drinking Fcuntain <br />Flopr dram <br />GreaSe trap <br />Rool drains <br />Olher <br />HEATSOURCE <br />_ Eledric � Gas _ Other <br />t8B83000383 From� OeDorah ShiclGs <br />�a s - <br />;MIT k <br />��� <br />Everett 4254230317 <br />PHONE <br />360-945-2787 <br />CITV/ZI7 PXONE <br />Lynnwood 800-398-4663 <br />CONTRACT PRICE OF WORK <br />2429.42 <br />NO. I TYPE OF FIX7URE OR ITEM <br />A/C - a�r hanCimo � inds <br />Forced air systems <br />Gas piping <br />i VJater heater <br />Gas fireptace <br />Gas rango <br />Clothes d��er <br />Ran9e hood <br />Eahaust fan <br />Heat pump <br />Unit heater <br />Bo�ler <br />Relrigeration <br />Woodstove <br />O�her <br />CITY OF EV[RETT LOCAL SALES TAX CODE IS 1105 <br />I heieby cenUty lhal 1 have iead and ezammed ih�s apphcation and kn�.v lt e same lo be Vue and correct Ail pwvisions of laws and <br />urdmaces goveming this rypo of work vnll be comphed vnth whether specifi�d herem or nol The aranUnq of a pertnil does not presumc <br />to grvC authonN tJ viJlate Jr cana'I the pro��sion of dny other st3te er IOW I law regulahng consUUCtion or Ihe peAormdnce o� <br />cAnstrudion 1 hal I �m �u;honzed by the owner of this properry to perform the work lor wh�G� aF��p�caLon �s made and I comply with fhe <br />S;a�e Con �,��\� �,.,t� W and 296c°�Q WA�e� .� ..� c�..+�, <br />� r�n <br />1 � G4 f�1�l�t�n�[�lCwll9 L M MJI� ��Y �<� V�n <T��If/w'. <br />. 1' 1 � `�11 � ��yy r <br />� 'l�rY�- <br />ignaW�e �'� .,..,,_,'�..,,;�,�a.Ys •.utnonze�geN - - .. . Oate <br />