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01-09-' 11 15:27 FAOM-nw ���•mit 13605452091 T-885 P002/005 F-302 <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.everettwa.or_ <br /> APPLICATIONS ARE ACCEPTED FROM e Ak TO 4 Phl J � �( � � � <br /> SITE ADORESS PARCEL TAX I.U.p PERMIT q <br /> 1021 110TH PL SE 00433600002001 /yf l/�/ �j� <br /> LEGNL LOTNO. OLOCK TRACT <br /> DESC. <br /> Qy�rN�H ADDRESS CITV2IP VHONE <br /> SIDNEY SCHWAB 1021 110TH PL SE Everettse2o3 425-3A8-3999 <br /> lHNANT NAMC- CONUCT FOR PERMIT PHONE <br /> INaida Khan 360-945-2787 <br /> CONTRACTOR �AIESCO A�URESS CITY2IP PHONE <br /> �� 2800 Thorndyke SEATTLE 800-398-4663 <br /> CONTR.41GENSE N�n i A 5�..�I ES 97��p <br /> VVf1 �� <br /> USE OF BUILDING HEAT SOURCE CONTRAC7 PHICE OF WORK <br /> SFR _[�ectric ��as_olnor $950.00 <br /> WORK oESCRIPTION <br /> RLPLACE 50 GAL. GAS WATER HEAT[R <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM NO. lYPE OF FI%TURE OR IT[M <br /> Toilcl A/C—air h�ndling units <br /> Baihtub Forced air systems <br /> Lavatory(wash Uasln) Gas piping <br /> � Shower i Wal¢rhealcr <br /> Kdchan sink&disposal _ Gae firepl�ce <br /> � Dishwashe� Gas�ange <br /> Clmhas washer Clothes tlryor <br /> � Laundry�tay _ Range hood <br /> Slnk(service/bar,hnop/olc.) Exhausl lan <br /> � Dachfiow provenler _ Heaf pump <br /> Uiinal Unil healer <br /> Drinhing Fountain � Boiler <br /> Floor drain Refripora�ion <br /> Gmnso Irep Woods�ovo <br /> � Ruof drains �lhu� <br /> Othar <br /> CITY OF EV[REiT LOCAL SALES TAX COUE IS]705 <br /> I haroby ceriti(y that I have read and oxamined this applicedon and know the samo to be Irue and wvaG. /111 provisions of laws and <br /> ordinecas governing Ihis lype ot work will bo comphed with wholher spec�Ged herein or not.Tne granting of a permil does not presumo <br /> lo yive authoriry to vioiate or tancol tha provis�un ol any oiher state or loeel law rogWating constniction or the pedarmanca of <br /> consW clion.Thal I Am aulhorized by Ihe oH•net of Ihis pmpeRy W psrfirm Ihe work lot�Ntich application is m2de and I comply with Ihe <br /> S�ate CoNractors Lay,1 27 RCW and 29G200 WAC. <br /> ����!��� ot/b'-f��!( <br /> SignaWie of Owner/Cont�aclod Ihonzad Ayenl ate <br />