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12-03-'09 12:09 FROM-nw permit 13609952091 T-991 P002/003 F-020 <br />SIT[ ADDRESS <br />5018 SOUND <br />LEGAL LOTNO. <br />DESC <br />PERMIT APPLICATIOPJ <br />CITY OF EVERET7 PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 – FAX 425•257-8857 – mn�nri everetiwa.org <br />� <br />APPLICnTIONS ARE ACCEPTED FROM 8 AM TO 4 PH1 /2 ...�—() / <br />! <br />IPARCEL?AX I.D. R PERMIT a ,� <br />00433600005402 MI�Q �'ii � �U� <br />BLOCK � 7RAC7 <br />JAN HOPKINS 5018 SOUND AVE ever 98203 425-347-1353 <br />TENANT NAhi[ CONTACT FOR PERMIT VIIONE <br />INaida Khan/Cyndal Millhollin 360-945-2787 <br />CONTfiACTOR �AIESCO ADDRESS CITYRIP PMONE <br />�� 28Q0 Thorndyke SEATTLE 800-398-4663 <br />coNra.ucer+sEz WASHIES9710B <br />USE OF dU1LDING <br />residentiai <br />WORK DGSCRIPTION <br />HEATSOURCE <br />_ EleCric � Gas __ Other <br />INSTnLL OIL TO GA5 80K BTU FRUNACE W/ 50' GAS PIPING <br />qp, I TVpE OF FI%TURE OR ITGM <br />Todel <br />6athtub <br />Lavalory (wash basin) <br />Shower <br />Kitchen sink 8 disp05ol <br />Dish�vasher <br />� CW�h:Swasher <br />L�wndry hay <br />� Smk (servicelbar/mop/elc.) <br />Llackllow pro�•anter <br />� Unnal <br />Diinkin J PpU��lain <br />_� Flpo� drain <br />— Grease lr2n <br />Itoof dra�ns <br />Other <br />CONTRACT NRICE OF WORK <br />5642.00 <br />NO. � TYPHOFFIXTUREORITEM <br />AIC — air hantlling units <br />i Forced air syslen�s <br />i Gas piping <br />Water hQaler <br />^ Gas fireplace <br />Gas range <br />Clothes drycr <br />Range hcod <br />Exhausl len <br />Heat pump <br />Unil healer <br />J— BOiICr <br />Refngention <br />WOOtl5l0`/C <br />CITY OF fiVER[7T LOCAL SAIES TA% CODE IS 7105 <br />I hereby cerihfy Ihat i have rBad antl examined lhis apphcation and know Ihe same to be Irue and correK. All prowsions ol 1a�4, and <br />ordinacCs �ovc'ming ihis typC of wOrk wtll ba complied Hnlh whelhCr SpaCified herein or nol. The grantiny o� a perrtut does not presume <br />to give suthonty to vioiale or cancei the provision uf any olher state or local law repuiating consUuction or Ihe periermance o� <br />consl�ucl�on. 7hat I am nulhcrimd by ine owner ol th�s property to perform the work for �tihiCh appli0.ation is maAe and 1 comply ��llt the <br />State Contraclors Law 18�?7 L'�`�; �and 296200 WAC. ��.� <br />� ;LQL��/l_ � Z �� (��'� <br />Siynalure of Own rIC Nra to ulhonzed Agent — D te <br />