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i <br /> � P�RMIT APPLICATION <br /> VITY OF EVERETT PERMIT SERVICES <br /> 3200(:EnAR STREET, EVERETT,WA 9d201 <br /> 425-257-8810—FAX 425-257-8857—wvuw.everettwa.org <br /> APPLIGATIONS ARE ACC�PTED FROM 6 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.M PERMIT# <br /> 67ZU TYtE KU 00477700000100 � r — <br /> LE LOTNO. BLOCK TRACT <br /> �ESC. <br /> OWNER AD�RESS CITYlLP PHONE <br /> ANTHONY CYNKAR 6720 TYEE RD, EvPrPft 98203 425-353-3056 <br /> TENANT NAAAE CONTACT FOR PERMIT PHONE <br /> Naida KhanlNorthwest Permit Inc 360-945-2787 <br /> CONTRACTOR WESCO A�DRE55 CITYILP PHONE <br /> CONTR.UCENSEt WASHIES97106 2$00 Thorndyke Ave W 5eante, 58155 800-398-4463 <br /> USE OF 6UILDINC HEAT SOURCE COIJTRACT PRICE OF WORK <br /> Residential _E�a��� x Gas_Other �9�0.�0 <br /> WORK�ESCRIPTION <br /> Replacing a Bryant gas to gas 50 gallon water heater <br /> PLUMBING MECHANICAL <br /> NO TYVE OF FIXiURE OR ITEM �O. T'PE OF Fl%TURE OR REM <br /> Touet _ NC—airhandlinouni� <br /> Bathtub Forced air systems <br /> Lavatory(wash basin) Gas piping <br /> 3hower + Wetr� licefa <br /> � Kitchen sink 8 tlisposal Gas fireploce <br /> _ Dishwa,he� Gas range <br /> Clolhca N�aoher Ciolhee dryer <br /> _ Laundry tray _ Range haod <br /> � Sink(servicelbadmopletc.) Exhaust fan <br /> � Rarkfinwpmvnn�nr _ Heatpump <br /> � _ Urinal Unit heater <br /> ' Drinking Fountain Boiler <br /> Ploordrain . Retnperotion <br /> Grease trap PJoodslove <br /> � Roof drains Other_ <br /> Other <br /> CIN OF EVERETT LOCAL 94�E$7AX CODE 19 710J <br /> I herehy cenlify tnat 1 have read and ezamined this application and knowthe same to be true and corted. All provisions of laws end <br /> oNinaces goveming this type of work will hr.enmplirtd wilh wh2lhnr s�u+.rifiPA hnrein nr nnf Tha Ornnfinp n(n prrmit dorc nnt pmcumn <br /> to give authonry to vioiate or cancel the pmvision of any other state or local laW regulating construdion or the pertortnance of <br /> oonslruclion.That I am authori:ed by the owr,er of this property to p^rform;he woAc for which application is made and I comply with the <br /> State Corlr,�r,tors Law 1827 RC�00 WAC. ����I� <br /> I f1�fAn.f <br /> S`Ignature o vner/C t3Ctor/Authonzed Agent ate <br />