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11 -�8-' 1 ? 11 :01 FRO�- NorthWest Permit INC 13609450291 T-463 P0004/0005 F-366 <br /> I <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 /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ��_a g—/Z <br /> SITE ADDRESS PARCEL TAX I.D.M PERMIT N <br /> 3410 NORTON AVE 0043758270770D Z/I - 07 <br /> LEGAL LOT NO. gLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITY2IP PMONE <br /> DORTHY MOLLOY 3410 NORTON AVE Everett 9azo� 425-259-6529 <br /> 7ENANTNAME CONTACTFORPERMIT PHONE <br /> INaida Khan 360-945-2787 <br /> CONiRaCI'OR WESCO ADDRESS CITY2IP PHONE <br /> 3909 196th St SW l.ynnwood 800-398-4663 <br /> CONTR.LICENSEM WASHI�S.91 1 OB <br /> USE OF BUILDING I HEAT SOURCE I CONTRACT PRICE OF WORK <br /> S F R _e�e�«�� �Gas_Olher $950 <br /> WORK DESCRIPTION <br /> REPLACE GAS WATER HEATER. <br /> PLUA181NG MECHANICAL <br /> NO, TVPE OF FIX7URE OK�TEM N0. TYP�OF FI%TURE OR ITEM <br /> 7oiict _ A1C—alrhandlingunits <br /> '� Bathtub _ Forced air systems <br /> 4avatory(wa;n b2sin) _ Gas piping <br /> Shower + Water healsr <br /> Kilchen sink&disposal _ Gas fireplace <br /> �ishwasher _ Gas ranpe <br /> Clothes washer _ Clothes dryer <br /> Laundry lray _ Range hood <br /> � Sink(servicel�ar/mop/etc.) _ Exhausl fan <br /> Backllow provanler _ Heat pump <br /> Urinal _ Unit heater <br /> Orinkinp Founl2in _ Boiler <br /> Flaor drain Relriqeratlon <br /> Grease lrnp Woodstova <br /> ftooldrains _ Other <br /> Oiher — <br /> CITY OF EVEREr'LOCAL SALES TA7C CO�E�S 3105 <br /> I hereby ceri ifyitiat I vo road and examinod this application and know the same to he truo and correU. Ail provisions of laws and <br /> ordinacos� om p 1 'type ot worA will �e complied�vith whelher specified herein or not The granting of a parmil does nol p�esume <br /> to give authon v ate or cancet the provision of any other slale or local law regulating conshucUon or Ihe performance o1 <br /> consUuc�ion.Th I m a Ihorized by t e awner of lhis pruperty to periorm Ihe work for which appiicalion is made aitd 1 comply wllh the <br /> Stale Cantractor v 27 2n 2f36.200 YJAC. <br /> V uv `�-�� � � <br /> Signalure ottlwneqContractor/Aulhorized/ujeit Da�¢ <br />