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� <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857—vwrw.evereriwa.org <br /> APPUCATIONS ARE ACCEPTED FROM118 AM TO 4 PM 3� I J`�I� <br /> SITE ADDRESS PARCEL TAX I.D.K PERMIT N _ 0�� <br /> 1724 W SILVERLAKE RD oa9a30o5o0600 �1 1 I � ' <br /> LEG4l LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRE55 QN21P I>HONE <br /> CAROLE LEITZELL 1724 W SILVERLAKE RD evereu 98zoe 425-338-3575 <br /> TENANTNAME CONTACTFORPERMIT PHONE <br /> INaida Khan 360-945-2787 <br /> CONTRACTOR WESCO ADDRESS dN21P PHONE <br /> .1 2800 Thorndyke SEATTLE 800-398-4663 <br /> CONTR.LICENSE q WAS H I ES97 I OB <br /> USE OF BUILDING HEAT SOURCE I CONTRACT PRICE OF WORK <br /> SFR I _E�ectric �Gas_other $75� <br /> WORK DESCRIPTION <br /> REPLACE GAS WATER HEATER. <br /> PLUMBING MECHANICAL <br /> NO. TVPE OF FIXTURE OR ITEM NO. TVPE OF FIXTURE OR ITEM <br /> Toilet A/C—airhandling units <br /> Bathtub Forced air systems <br /> Lavatory(wash Uasin) Gas piping <br /> Shower i Water heater <br /> Kitchen sink E disposal _ Gas fireplace <br /> Dishwasher Gas range <br /> Clothes washer Clothes dryer <br /> Launiry tray _ Range hood <br /> Sink(sen•ice/bar/mop/elc.) _ Exhaustfan <br /> Bachllow preventer _ Heai pump <br /> Urinal Unit heater <br /> Drinking Fountain _ Boiler <br /> Floor drain Refrigeration <br /> Greasetrap _ Woodstwe <br /> Roo1 drains Other <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby centdy that I have read and e■amined this application and knowthe same to be true and correcL All prwisions of laws and <br /> ordinaces goveming this type ot woik will be comphetl with whether specrtietl hereln or not The gran[ing of a permit does not presume <br /> to give authority to violate or cancel the provision ot any other state or local law regulating mnstmction or the peAormance of <br /> conslruc[ion. That I am authoriced by lhe o�mer o1 this property to periorm the work for aMich application is made antl I mmply with the <br /> State Contractors Law 1827 RCW and 296200 WAC. <br /> Naida Khan - 'M`° <br /> Signature oi Owner/Contractor/Authorized�Agent Date <br />