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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—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM E, _ �. �' —+ � <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 4401 THOMSON AVE 00605501400604 � I ( 1��0" �(�:`a <br /> LEGAL LOT NO. OCK TRACT <br /> DESC. <br /> OWNER AOORESS QTY21P PHONE <br /> PAUL ANDREWS SAME AS SITE ADDRESSS Everep 98203 425-252-3394 <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> Cyndal/Naida 360-945-2787 <br /> CONTRACTOR \A/ESCO ADDRESS qTV21P PFiONE <br /> V V .1 2800 Thorndyke SEATTLE 800-398-4663 <br /> CONTR.LI�ENSE q V/AS H I ES97 1 OB <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> f@SICJ211tIaI _Eleclrit �Gas_Other 950 <br /> WORK DESCRIPTION <br /> REPLACE GAS 50 GALLON HOT WATER HEATER <br /> PLUMBING � MECI{AR{CAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FiXTURE OR ITEM <br /> Tollet A/C—air handling units <br /> BathmU Porcetl air systems <br /> Lavatory (wash basin) Gas piping <br /> Showcr i Water heater <br /> Kitchen sink&disposal Gas fireplace <br /> Dishwasher Gas range <br /> Clolhes washer Clothes dryer <br /> �aundry tray Range hood <br /> Sinh(service/badmop/etc.) Exhaust fan <br /> Bactiflow prevenler Heat pump <br /> Urinal Unit heater <br /> Drinhing Fountain Boiler <br /> Floor drain Relrigeration <br /> Grease trap Woodstwe <br /> Roof drains Other <br /> Other <br /> CITV OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritity that I have read and eramined this application and tino�v the same to be true and correct. All prwisions of laws and <br /> orAmaces governing tnis type of�tirorh w�ll be complietl with whether speniietl herein or not.The granting of a permit does not presume <br /> to grve authority to violate or cancel the provision of any other state or local law regulating ronstruchon or the pertormance of I <br /> construchon. That I am authori=eU by the owner of this property ro perform the Hrork 1or whkh application is made antl I comply wrth the <br /> State Conhactors Law 1827 RCW antl�96200 WPC. <br /> � <br /> = 6/28/11 <br /> Signature oi OwneUCont�actor/Authorlcetl Agent Date <br />