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03-05-'�9 11:92 FRGM- T-365 P002/002 F-181 <br /> � � <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMR7 SERVICES <br /> 3200 CEDAR STREET, EVERE'i T, WA 98201 <br /> A25-257-tit310- FAX 425-257-II857-�w,w.everettwa.ory <br /> r' c� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM 3—� "'� I <br /> SITE ADDRESS PARCEL TAX I.D,N PERMIT N <br /> 3311 SHORE AVE oo57t700901702 �� 03 - 01� <br /> LEGAL LO7N0. BLOCK TRACT <br /> OESC <br /> OWNER 4Oo2E5S CITV2IP PHONE <br /> STEVE L!NARI 3311 SHORG AVE Evered 98203 425-347-6874 <br /> TEN4NT NAME CONIACT FON VENMIT PHONE <br /> Naida Khan 360-945-2787 <br /> iCONTRACTOR��/�SCO AOURBSS CITVIZIP PHONE <br /> � �� f� 2800 Thorndyke SEA71'LE 500-398-4463 <br /> ICONTR.LICENSEYWASHIES.77�OI3 <br /> ', U3E OF BUILDING HEAT SOURCE CUN7RACT PRICE OF WORK <br /> SFR ,_._e��a,�� �Gas_O�her 950.00 <br /> � WORK DGSCRIPTION <br /> Replace gas to gas 50 gallon A0,000 btu water hQ�ter <br /> PLUMBING MECHANICAL <br /> NO. TYPEOFFIXTUREORITEM N0. TYPEOFFIxTUREORI7EM <br /> Toilet NC—air hantlling units <br /> . _ Oathlub � Forced air systems <br /> _ Lavatory(wash basin) Gas piping <br /> Shower � WatBr heater <br /> _ Kdchen cink&disposal � Gas firopiaco <br /> Dishwasher Ga5 rnnge <br /> _ Clolhes washer Clolhes dryer <br /> Launtlry tray Ranpe hood <br /> _ Slnk(suivico�Uaumopletc.) ExheUsl 17q <br /> _ E3ackilow prevenler � Heat pump <br /> Urinal Unit heatei <br /> Drinking Founlain 6oiler <br /> Floor�rain Retngeration <br /> Grease�rap � Woodstove <br /> Rool drains Olhe� <br /> Olher <br /> � CITY OF E•VERGTT IOCA�SALES TNC CO�E IS 1105 <br /> I hereUy cenUty that I have read antl examinad Uvs apphcalion antl know lhe sama to he irue and correct All provisions of laws an� <br /> ordinaces qoverninq�his type of work w�ill be wmplieA with wiiether specified herein or noL The granting o1 a peimit does not prasume <br /> to c�ive aut�onty to violate or cancel the provis�on of any other slste or loca�law ragutahng constNCtion of th0 pe�fOrmanCe o( <br /> conslrUClion.That I am authoiized by Ihe owner ol this pmperly to pertomi ihe work for wtuch aDP�ication is matle antl I comply with lhe <br /> � SIatC COnlraClOrS�La"w 1"8 27 RCW and 2�J6 200 WAC <br /> r uV�'b�l�1LiL-_ ,>I� (9 I <br /> Signa— t� w� ner/Cont ct rlAuthorized Agen! te <br />