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( t. <br /> PERMIT �PPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERE7T, WA 99201 <br /> 425-257-8810—FAX 425-257-8857—www.everettwa.org <br /> APPLICA710NS ARE ACCEPfED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.�M PE MI <br /> 2001 OAKES AVE 00439166400100 ��z —� � <br /> LEGAL LOTNO. BLOCK tRAC7 <br /> DESC. <br /> OWNER ADDRESS <br /> C�7Y/,ZIP PHONE <br /> CI7Y OF EVERETT �ame as site address ever 98201 425-25�-8130 <br /> TENPNT NAME CONTqCT FOR PERMIT VHONE <br /> INaida Khan/Cyndal Millhollin 360-945-2787 <br /> CONTRACTOR 1A'�S^^ AODRESs CIN2iV PHONE <br /> �V ��,✓ 2800 Thornd ke SEATTLC so0-398-4663 <br /> `°"""'"°E"sE`WASHIES971 OB y <br /> USE OF BUILDING I HFAT sOURGE CONTRACT PRICE OF WORK <br /> comm�rical _e�e�,�� �Gas_Olher $5500.00 <br /> WORK�ESCRIPTION � — <br /> replace 75 gallon hot water heater (G75-125) <br /> PLUMBING ME HANICAL <br /> NO. 'h�pE OF FIXTURE OR ITEM NO. TYPE OF FI%TURE OR I7EM <br /> _ Toiiet A/C—airhandlingunits <br /> _, BathtuC � Forced air s stems <br /> I = Levatory(wash basin) � Gas i � Y <br /> Rhntw� , Wate heater <br /> I ` IGtchen sink 8 disposal _ Gas fire laca <br /> Dishwasher p <br /> _ Gasrange <br /> Clothes washPr _ Glothes aryer <br /> Laundry tray ` Range hood <br /> i = Sink(service�baNmop/elc.) _ Exhaust fan <br /> 8ack0owprnventer � Heafpump <br /> I = Ufinal __ Unit heatef <br /> Drinking �ounfain _ Boiler <br /> Floof d�t.in ` Ro�i9e��,o� <br /> I = �rease trap i Woodslove <br /> Roofdrnins � Other <br /> other <br /> I <br /> I CITY OF EVlRET7 LOI:AL SqLES TAX COOE IS J705 <br /> I I hereby centity thal I have read and examined this application and know the same to be true and corteet. All provisions of lav,s and <br /> ordinecYs governing(hi5 type of work v.ill bC complirul�.nth whethor speGficd heroin or not.The gra�ding of a permR Coes not p�esume <br /> I� ro give authonty to violate or cance�tbe provision af any other stat¢or Ixei law reguleting�pnstruqion or the performance of <br /> canstrtictioa That I am authorized by the owner ot this properfy to pedorm the work for whlch applicetion is made and 1 tomply with the <br /> I State Contractors�aw�8.27 RCW,nd 2Pu.200 WAC / / <br /> I U.�' �;�-- i '; u � <br /> Signature o(O�troedContraptpr/ u�hon,etl Apent ��`�'[— <br /> � <br />