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SITE ADORESS <br />34U5 R�CKE <br />IIGAL LOT NO. <br />DESC. i <br />LOF2NE RICpRD <br />TENANTNAME <br />CONTRACTOR\A)ESCO <br />VV <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMlT SERVICES <br />3200 CEDAR S7REET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.eve� eriwa.org <br />APPUCATIONS ARE ACCEPTED FROM 8 qM TO 4 PM /�� U�� O2.��� <br />�' <br />t� PARCELTAXI.D.N I PERMITM <br />AVE �T OU438182000200 �; �� <br />BLOCK I TRncT <br />AUDRESS �� CI7Y21P PHONE <br />3405 ROCKEFELLER AVE Everett ;�201 425-204-$758 <br />CONTR.IIC[NSEMI��ASHIES9! IOB <br />YV <br />USE OF B111l.DING <br />SFR <br />WORK DESCRIPTION <br />CONTACTFURPERMIT <br />Naida Khan <br />ADDRESS <br />2800 Thorndyke <br />MEATSOURCE <br />� Eledric � Gas _ Other <br />Replace gas to gas 50 gallon 40,000 btu water heater <br />NO. I TYPE OF FUl7URG OR ITEM <br />I 011et <br />Balhiub <br />Lavalory (wash basin) <br />_ 5huwur <br />Kitchen sink R disposal <br />� Dlshwasher <br />ClolhG� washer <br />Laundry iray <br />Sink (servicelbarlmop/etc. � <br />4u40ow prevontor <br />_ Urinal <br />Dnnking Fountain <br />Floor drain <br />Grease trap <br />RpOf df�i05 <br />� Other <br />� <br />PHONE <br />360-945-2787 <br />CITY2IP PHONE <br />SEATTLE 800-39f3-4463 <br />CONTRACT PRICE OF WORK <br />750.00 <br />TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />� Forced air syslems <br />Gas piping <br />� Water heater <br />� Gas fireplace <br />Gasrange <br />c:ietnes tlryer <br />_ Range hood <br />Exhaustlan <br />_ Heat pump <br />Unit heater <br />Bailer <br />_ RAfriga�ation <br />Woodstove <br />_ Other <br />G� �� Ur EVERETT LOC4L SALES TAX CODE IS 9105 <br />I hereby ccritify that I have read and examined this application and know the same to be true and corced. All provisions oi lavrs and <br />nrd�narss governing this type otworl: arill 6e complicd with whether apecified herein or noL Thc gran6ry of e permit Jues no� picsume <br />to give autnonty to violote or rancel the proviaion of nny olher state or Ixel law regWating mnstruaion or �he peAormance o( <br />cnnstruqion. Thal I am authorized by the owner ai O�is property to paAorm the work for which applicalion is made and I comply with the <br />State ConiraC,�lrs Law t CW and 29F2p0 WAC. � <br />�v <br />S�gnature of Owner ontr ctor/Author�zed Apent Da� � <br />