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r- � <br /> PERMIT APPLICAT�ON <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857-ww�nr.evereriwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM S —I-7 `'II <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 324 PARK PLACE o0606200000900 //(� — O�/l7 ' <br /> LEGAL LOT NO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS QN21P PHONE <br /> WILLIAM VIGER SAME AS SITE ADDRESSS Everett 98203 425-252-1228 <br /> TENfW T NAME CONTACT FOR PERMIT PHONE <br /> INaida Khan 360-945-2787 <br /> CONTRACTOR WESCO �DRESS dTY21P PHONE <br /> 2800 Thorndyke SEATTLE 500-398-4663 <br /> �o"TR.u�E"SE"WASHIES971 OB <br /> USE OF BUILDING HEAT SOURCE I CONTRACT PRICE OF WORK <br /> SFR _Electric �Gas_Gther 950.00 <br /> WORK DESCRIPTION <br /> replace gas 50 gallon hot water heater <br /> PLUMBINC3 MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTUREOR ITEM <br /> Toilet A/C—air handling units <br /> Bathtub Forced air systems <br /> Lavatory(wash basin) Gas piping <br /> Shower i Water heater <br /> Kttchen sink&disposal _ Gas fireplace <br /> Dishw2sher Gas range <br /> Clothes washer Clolhes dryer <br /> Laundry tray _ Range hood <br /> Sink(service/badmop/etc.) Exhaust fan <br /> Backflow preventer Heat pump <br /> Urinal Untt heater <br /> Drinking Fountain Bofier <br /> F�oor draln Refrigeration <br /> Grease trap Woodstove <br /> Roof drains Other <br /> Other <br /> qTY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> i hereby�cerftity that I have read and examined this application and knowthe same to be true and correct. All prwisions of laws and <br /> ortlinaces governing thistype of work will be complied with whether specified hereln or not The gran[ing of a permt does not presume <br /> to give authority to violate or cancel the provision of any other state w local law regulating construction or the performance of <br /> construdion.That I am authorized by the owner rf this property to pertorm the work for whkh application is made and I comply with the <br /> State Contractors Law 18.27 RCW and 296.200 WAC. <br /> f;'-:--_:.., : 5/17/11 <br /> Slgnature o Owner/Contracror/Authorized Agent ate <br />