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12-12-'08 13:99 FROM- T-169 P002/0�3 F-888 <br /> �, l <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA �J8201 <br /> 425-257-8510 — FAX 425-257-8857—www.evereriwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT ft <br /> 833 E MARINE VIEW DR 2905��oo�ooaoo � a�03 <br /> LEGAL LDT NO. BLOGK YRACT <br /> DESC. <br /> OWNEft ADDRESS CITYIZIP PHONE <br /> MIKE LANE 833 E MARINE VIEW DR EVERE-Tf,98201 425-493-7215 <br /> TENANTNAME CON7ACTFORPERMIT PHONE <br /> INaida Khan 360-945-2787 <br /> CONTRACTOR 1AICSCO AOORESS CIYYI2IP PHONE <br /> ��� .f 2800 Thorndyke SEATTLE 206-378-6649 <br /> cONTR.LICENSE M�A/ASH I ES.97 1 OB � <br /> VV <br /> USE OF BUILOING HEAT SOURCE I CON7RACT PRICE OF WORK <br /> SFR ( _E�edric ��as_Other 950.00 <br /> � WORK DESCRIPTION <br /> REPLACING A GAS TO GAS 50 GALLON WATER HEATER <br /> PLUMBING MECHANICAL <br /> Np, TYPE OF FIXTURB OR ITEM NO. TYPE OF FI:LTURE OR ITEM <br /> � Toilot ,wC—airhandlinpunils <br /> �alhtub Forced air syslems <br /> � Lavatory(wash basln) � Gas plping <br /> Shower + Water heater <br /> Kilchen sink&disposel � Gas fireplace <br /> Dishweshcr Gas range <br /> Clolhes washer Clothes dryer <br /> Laundry Iray _ Range hood <br /> � Sink(serviceJbadmoU�etcJ Exhausl fan <br /> Backfow prevenler _ Heal pump <br /> Urina' Unit healer <br /> Drinkinc�FounWin _ Boiler <br /> � Flourdrain Refrigeration <br /> Grease trap VYootlstove <br /> Roof tlrains Othe� <br /> Ouier <br /> C11Y OF EVERETT IOCAL SALES 7AX CODE IS 3105 <br /> I hereby ceritify that I heve read and axamined this epplication and know the same to be lrue and corred. All provisions of laws and <br /> ordinaces govaming this type of work will be compiietl w�tn whether specified herein or noL The granting ol a permit does not presume <br /> to give authority to violate or c2ncei the provision ot any other stata or iocal law re�ulating construclion or the peAormance of <br /> construction. Thal i am authorized by lhe ovmer of mis pmperty ro pertorm the work tor wliich application is made and I comply with ihe <br /> State ConlraSto�l_„�3�nC.9.&2?.R�W and 290"200 WAC. �j�� / ) � <br /> %/I / i G <br /> slgnatur 7"6 r ontractor/Aulh oTe`nl le <br />