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12-16-'0E 10:48 FROM- <br />T-179 P002/002 F-904 <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREE-, EVERETT, WA 98201 <br />425-257-8810 - FAX 425.257-8857 - wvnv.everethva org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM Z -/6-- <br />SITE ADDRESS <br />PARCEL TAX I.D. N <br />P RMIT # <br />4708 W VIEW DR <br />00605800002200 <br />Y Z <br />LEGAL LOT NO. <br />aLCJK <br />TRACT <br />DESC. <br />OWNER ADDRESS CITYIZIP PHONE <br />HERMAN VISSCHER 4708 W VIEW DR Everett 98208 425-239-1862 <br />TENANT NAME <br />CONTACT FOR PERMIT PHONE <br />Naida Khan/Northwest Permit Inc 360-945-2787 <br />CONTRACTOR WESCO ADDRESS CITYIZIP PHONE <br />V 2800 Thorndyke SEATTLE 800-398-4463 <br />CPNTR. LICENSE 0 WASHIES971 OB <br />USE OF BUILDING/ HEAT SOURCE <br />CONTRACT PRICE OF WORK <br />SFR —ElectriaI/—Gas_Other <br />19500.00 <br />WORK DESCRIPTION <br />Replace oil to gas boiler (205k btu) with 25' gas piping. Install backflow preventer. <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />NO, TYPE OF FI tTURE OR ITEM <br />_ <br />Toilet <br />A/C — airhandlingunits <br />Bathtub <br />Forced air systems <br />Lavatory (wash basin) <br />+ <br />�_ <br />Gas piping <br />Shower <br />Water heater <br />Kitchen sink 8 disposal <br />Gas fireplace <br />Dishwasher <br />Gas range <br />Clothes washer <br />Clothes dryer <br />Laundry tray <br />_� <br />Range hood <br />Sink (service/bar/mop/etc.) <br />Exhaust fan <br />Backflow preventer <br />_� <br />Heat pump <br />_ <br />Urinal <br />Unit heater <br />Drinking Fountain <br />; <br />Boiler <br />_ <br />Floor drain <br />Refrigeration <br />_ <br />Grease trap <br />Woodstove <br />_ <br />Roof drains <br />Other <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />thereby centify that 1 have read and examined this application and know the same to be true and correct. All provisions of laws and <br />ordinaces governing this type of work will be complied wilh whether specified herein or not The granting of a permit does not presume <br />to give authority to violate or cancel the provision of any other state or local law regulating construction or the performance of <br />construction. That I am authorized by the owner of this prrperty to perform the work for which application is made and I comply with the <br />Stale Contrail rs Law 1 . 7 RCW and 296.200 WAC. <br />( <br />gnature o, OwnertiractoonAuthonzed Agent at <br />