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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 AGCEPTED FROM 8 AM TO 4 PM � — � 2_ f� <br /> SITE ADDRESS pqRCEL TAX I.D.# PERMIT 1t <br /> 5002 SOUND AVE 00433600003903 �l`� � � (��—O,'Zq <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC <br /> OWNER AODRESS QTV2iP PHONE <br /> ROBERT STENGEL SAME AS SITE ADDRESSS everett 9e2os 901-481-8132 <br /> TENANT NAME CONTACT FOR PERMIT PMONE <br /> INaida Khan 360-945-2787 <br /> CONTRACTOR \A/ESCO ADDRESS QTY21P PHONE <br /> �� f� 2800 Thorndyke SEATTLE 800-398-4663 <br /> CONTR.LICENSE#,A,AS H I�S.771 O B <br /> VY <br /> USE OF BUIL�ING I — HEAT SOURCE CONTRACT PRICE OF WORK <br /> SFR Electric �Gas_Other 9027.0� <br /> WORK DESCRIPTION <br /> REPLACE OIL TO GAS 80K BTU FURNACE W/20' GAS PIPING & ELEC TO GAS TANKLESS <br /> HOT WATER HEATER W/ 10' GAS PIPING & 10' EXTENSIONS TO WATERLINES <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> _ Toilet A/l;—air handling units <br /> _ Bathtub � Forced ait systems <br /> Lavatory(wash basin) ? Gas piping <br /> Shower i Water heater <br /> _ Kitchen sink 8 tlisposal Gas fireplace <br /> _ Dishwasher Gas range <br /> Clothes washer Cbthes dryer <br /> _' Laundry tray Range hootl <br /> Sinh(servicelbar/mop/etc.) Exhaust fan <br /> _ Backflow preventer Heat pump <br /> Urinal Untt heater <br /> Unnhing Fountain Boiler <br /> _ Floor drain Refrigeration <br /> _ Greasetrap WooCstwe <br /> Roof tlrains Other <br /> � OfhBf �'A��H SUPPLY PIPING — <br /> i — <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceriti�y that I have read and enamined this application and know the same to be true and correct. All prwisions of laws and <br /> ortlmaces goveming thistype of work will be complied with whether specified herein or not The grenting oi a permit tloes not presume <br /> to give authonry to violate or cancel the pro ision of any other state or local law regulating�nstruction or the pertormance of <br /> construction. That I am authoriced by the owner cf this property to perform the wnrk lor whkh application is matle and I comply wdh the <br /> State Contractors Law�827 RCW and 296.200 WAC. <br /> -= 5/12/11 <br /> Signalure of Owner/ContractoVAu[honzetl Agen[ Date <br />