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08-�7-'09 14:21 FROM-nw permit 13609452091 T-609 P013/919 F-551 <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 org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM g ' �� - � <br /> SITE AD�RESS PAftCEI TA%I.D.N PERMIT N <br /> 1120 RUCKER AVE oo4E8622302500 G�j —�i <br /> LEGhL LOTNO. �IOCK TRAC7 <br /> DESC. <br /> OWNER ADOR'c55 cITV/ZIP PXUNE <br /> ROGER HAUG 1120 RUCKER AV[ e�erett sa2ot 425 252-0152 <br /> TENANTNAME GON7ACiFORPERM�T PHONE <br /> Naida Khan 360-945-2787 <br /> CONTRACTOR IA/ESCO ADORESS CITYIZID PHON[ <br /> �� (� 2800 Thorndyke SEATTLE 800-398-4663 <br /> CONTR.LIGENSE t\A/ASHIES.77�OB <br /> VV <br /> USE OF OUILDING HEAT SOURC� CONTRACT PRICE OF WORK <br /> S FR �e�ec��ic �Gas_other 750.00 <br /> � WORK bESCRIPTION <br /> REPLACE 40 GAL. GAS WATER HEATER <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilct A/C—air hondling units <br /> ^ 8alhtub Foiced air systems <br /> Lavalory(wash basin) Gas piping <br /> Showar i Water heater <br /> Kitchen sink&tlisposal Gas fireplece <br /> Dishwasher � Gas range <br /> Clothes washer Clothes dryer <br /> Laundry Iray ` Range hood <br /> Sink(servicelbadmop/etc) Exhaust fan <br /> F3ackllow preveNer � Heat pump <br /> Urinal Unit heater <br /> _ Drinking Foun�ain eoiier <br /> Floor drain ReMgeratian <br /> Grease Vap WootlS�ove <br /> Rool drains Olher <br /> Other <br /> Clrv OF EVEHETT LOCAL SALES TAX C0�[IS NOS <br /> I hereby cori6ty lhat I have raad and examined lhis appi�wlion and know the same!o be lrue anC wrrect. All pro+nsions of laws and <br /> ordinaces governing Ihls rype of work K�II be complied vdth whather specified herein or not. The granling of s Fermit does not presume <br /> to pive aulhonly lu vio�ate or cancei the provision of any olher state or bc2112w regulatin9 construdion or tha paAormance of <br /> construct!on. That I am authorized by iho owner of this property to perform the Nrork for a1�ich application is made and I wmply with the <br /> Slate o��raC�-r�ll v 1p-27.FCN/a�d 296200 WAC. <br /> �` ,, `_�� v <br /> �gnat�merlConiractor/Authonzetl qqent L a� � <br />