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i . ' <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 88201 <br /> 425-257-8610—FAX 425-257-8857—www.everettwa.org <br /> APPUCATIONS AKe ACCEPTED FROM E AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.it PERMIT p <br /> 1606 ROCKEFELLER AVE op438033902900 � - Z 7 <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC <br /> OWNER ADDRESS CITYRIP PNONE <br /> CAROL SASS 160Fi ROCKEFELLER AVE Ev�aerr,00zo, 42�_252-3820 <br /> 7ENANT NAME CONTACt FOR PERMIi PHONE <br /> INaida Khan 360-945-2787 <br /> CONTRACTOR 1AIESCO p��RESS G7Y(Z�P PHONE <br /> CONTR.LICENSE�I 2800 Thorndyke SEATTLE 206-378-G649 <br /> WASHIES971 OB <br /> USE OF BUILOINC I HEAT 90URCE CONTRACT PRICE OF WORK <br /> `S FR _Eleciric �Gas�Other 750.00 <br /> WORK DESCRIPTION - <br /> REPl.ACING A GAS TO GAS 50 GALLON WATER HEATER <br /> PIUMFi1NG MEGFiANICAL <br /> N0. iYPE 01=FIXTURE OR ITEM N0. TYpE OF FIXTURE OR ITEM <br /> _ Toflet _ A/C–airhandlingunits <br /> � Bathtub Forcedairsystems <br /> � Lavalory (wash basin) — <br /> � Showcr _ Gas piping <br /> Water heater <br /> � Kitchen sink E disposai _ Gas fireplace <br /> _ �ishwasher _ Gasrange <br /> ._ cio�hes w�snor aames tlryer <br /> � Laundry tray _ Range hood <br /> � Sink(serviceroar/mop/etc.) _ Exhausl fan <br /> _ C38ck00W pfeVCnter Heat pump <br /> _ Urinal � Unit heater <br /> _ Drinking Fountsin 9oiler <br /> �_ �IOOf drain ' RQ(riger�Gon <br /> _ Givase trap � Wo«lstove <br /> _ Roof drains _ Other <br /> Other <br /> C�7X o�eveR[n Local saLhs iql�cooe�s 7to6 <br /> I hemby ceritify that I have read and examined this application and know the same to b�true and mrrect, All provisions ol laws and <br /> Otdln2Ces gOVefninq ihi5 tyDe o(work will hn r.mmpliAd v�ith wheth�r spealfad herein or not.Th9 g�nfing of a pertnit does npl piesume <br /> to give aulhonty to vlolato or cancei the provision of any other state or locat law mgulating construction orthe performance of <br /> construction,That I am authorized by the o�mer of this property to perlorm the work for which application is made and I comply with Ihe <br /> State CoMractors 1827 and 2P6.200 WAC. <br /> Slgnature of Owneucontr f/Authot¢Btl Agen( �ate <br /> I <br />