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11-12-'10 13;91 FROM-nw permit 13609952091 T-645 P094/005 F-022 <br /> t <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.everedwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �I�a'/D <br /> SITE ADDRESS PARCEI TAX 1.�.# PERMIT k <br /> 1510 ROCKEFELLER AVE 00475331002700 l � � - o.�' <br /> L[GnL LOTNO. s�OCK TRAGT <br /> DESC. <br /> OWNER ADORESS GITY/ZIP Pf10NG <br /> JOHN & CHANDRA SADRO 1510 ROCKEFELLER AVE Everett 98201 425-971-6677 <br /> TENANT NAME CONTACT POft PERMIT PNONE <br /> INaida Khan 360-945-2787 <br /> CONTRACTOR ��/CCCO ADDRE53 CITY2IV PHONE <br /> ���`' 7.1 2800 Thorndyke SEATTLE 800-3ss-4663 <br /> CONTR.LICENSE q WASH I ES91 I OB <br /> USE OF BUILDING HEAI SOURC[ CONTP.ACT PRICE OF WORK <br /> $Ff� I _Eleclric �Gas_Olher $4935.�� <br /> WORK DESCRIP710N <br /> REPLACE 60K GAS FURNACE <br /> PLUMBING MECHANICAL <br /> N0. TYVE OF FI%TURE OR IT[M NO. TYPE OF F17(TURE OR ITEM <br /> 7nilet A/C—air handling unils <br /> Bathtub + Forced air systems <br /> Lavalory(wnslt basin) Gas piping <br /> Showor Waler healer <br /> Kitchen sink&disposal Gas fireplace <br /> � Dishwasher Gasrango <br /> Clolhes washor Clolhes dryer <br /> Laundry tray Range hooU <br /> Sink(sorvico/barlmnp/elc.) Exhaust fen <br /> � Backllow preventor _ Heal pump <br /> Urinal Unil heater <br /> ^ Diinkin�Fou018in Boiler <br /> Floor drain Refrigorelion <br /> Grease trap Woodstove <br /> Roofdrains Olher <br /> Other_ _ <br /> CITY OF EVERETT LOCAL SALES TAX COOE IS J1U5 <br /> I herr.by cordity thal I have read and oxaminotl this epplicnlion a��d know the samu to bo tme and correcl. All provisiais of laws and <br /> ord�naces c�ovoming lhis type of work will ba compiied with whother speafied herein or not. Tho prenting of a permit does no�presume . <br /> to qiv�aulhonty to violate or cancol Iho provision of any othar 51ate or Iocal law regulating constmcllon or Ihe pertormance of <br /> conslruclion.That I am authorized by the owner of this pmperry to periorm lhe work(or which appliwlicn is made and I comply�vith th¢ <br /> Stala Cont j�crors Lmv 18.27 RCw and 8.200 WAC. <br /> _..__._�( l2/'ZD�o <br /> SigOfltu (Own�CanlraUcuMctl�atZi�i7T+g� �Dale <br /> �__ <br />