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OS-3�-'0^a 10:;3 FP.OM- <br />SITH ADDRESS <br />4727 W VIEW DR <br />LEGAL LOT NO. <br />JIM CHARLI[R <br />TENANTNAME <br />coNnucroH WESCO <br />T-565 F'��2/�D5 F-G07 <br />PERMIT APPLIGATIOf� <br />C17Y OF EVERET7 PERMIT SERVICES <br />3100 CEDAR STRE[T, EVERETT, WA 98201 <br />425-257-9810 - FAX 425-257•8857 - vnvw.everetriva.org <br />APPLICATIONS ARE ACCEPTED FROM 0 AM TO 4 PM S-� i% - O� <br />OLOCK <br />coNra.�ic�Nser WASHIES97106 <br />US[ OF DUILDING <br />sr-R <br />WORK DESCRiPTION <br />PARCEL TA% I.D, p <br />006D5800004200 <br />TRACT <br />A727 W VIEW GR <br />CONTACTPORPERMIT <br />Naida Khan <br />nooHEss <br />2800 Tl�orndyke <br />NEATSOURCE <br />_ [1e..lric � Gas _ OthEr <br />REPLACE GAS TO GAS BRYANT 80K BTU FUFNACE <br />NO. I TVPE OF FIXTUFE OR ITEM <br />Qathtub <br />Lavstory (wash basin) <br />� Showctr <br />Kilchen sink 8 disposel <br />Dishwasher <br />qottes washcr <br />� Leunary �ray <br />Sink (service/bar/mop/etc.) <br />BackOow prevenler <br />Urine� <br />� Diinking Fountain <br />Floor drain <br />� Greasa trap <br />Roof drains <br />Other <br />PERMIT d <br />Mr `,����i;V�/ <br />EVERE7T, 98203 206-683-5068 <br />PHONE <br />360-945-2787 <br />CIIY/ZIP PHONE <br />SEAT7LE 206-378-6649 <br />CONTRACT PRICE OF WORK <br />4192.15 <br />NO. I NPE OF FIXTUR[ OR ITEM <br />rvc — air nanaimg unns <br />� Forced air systems <br />Gas p;pinp <br />Water healer <br />Gas fireplace <br />Gas ronge <br />Clothos dryer <br />_ Rangchood <br />Exhaustlan <br />lieal pump <br />Uni� healer <br />— aoiler <br />� Rehigorahon <br />Woodstove <br />� Other <br />CITV OF EV[RET� LaCAI SALES TAX C�DE IS 71D5 <br />I here6y ceritiry th,t I have read and examined this application and know t�e same to be true and corred, !vi provisions ot Iaws an� <br />ortlinaces goveming ihis lype o! work wili be complied with whether spetified herein or not. The granting of a permd does not presume <br />to give aulhonty lo viotate or cancel Ihe provision ot any olher slate or iocai iaw regu�al�ng consuucbon or the performance ot <br />conslrudion. That I a�r auihorized by the ov+ner of thls prope;ry to pertorm the work 6�r wliich application is made and I comply with ihe <br />State ConUaclors Law 1827 RCW ] 296200 WAC. <br />_ D�/3o�vg <br />...._,... ,.,......,.,�,,,,,,,,,,,,,,,,,,,�r-.—�,,.. �.,, <br />