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1 <br /> PERNfiT APPLICATIOfv <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVER[TT,WA 98201 <br /> 425-251-8810-FAX 425-257•8857-www.everettwa.org <br /> APPLICATIONS ARE ACCEPTE�FROM 8 AM TO 4 PM j —I �� <br /> 31TE ADDFiE.^.S P/�RCEL TNC I.D.# �ERMIT tt <br /> 4417 THOMSON AVE 00605501400804 (V1 � �3 -C�i <br /> �EGaLr LOTNO. BLOCK TRACT <br /> D�J <br /> OWNER A�oRESS CITY2IP VHONE <br /> COLETTE HINKLE same as site address ever 58205 425-772-0580 <br /> TENANT NAME CONTAGT FOR PERMIT PHONE <br /> Naida KhanlCyndal Mi�ihollin 360-945-2787 <br /> CONTItACTOR AOORESS CITYfZIP PHONE <br /> WESCO Zg00 Thorndyke SEAlTLE 800-398-4663 <br /> `°""7."`E"SEF WASHIES971 OB <br /> USE OF BUILDING HEAT SOURCE CON7HACT PRICE OF WORK � <br /> residential I ei�anc � Gas_Other 49fi2.00 <br /> � WORK DESCRIPTION <br /> replucu uil lo �as 60k blu furnace w/30' gas piping <br /> PLUMBING MFCHANICAL <br /> N0. TYPE OF FIXTUR[OR ITEM N0. TYPE 9f�IIITURE OR ITEM <br /> 7o�iet ArC—air hantlling units <br /> � Bathtub + Forcedairsystems <br /> I _ Lovolory(woch bo:in) + Gas plping <br /> I Shower Walet heater <br /> �. Kitchen,ink&dlsposal Gas Tmplace <br /> ' Dlslnvatihar Ga3 rangn <br /> Clothes washer Clothes dryer <br /> �. ` Laundry lray � Range hootl <br /> � Sink(5erv�cefhadmop/etC.1 Exhaust}an <br /> � Dackllow preventer Heat pump <br /> � � Unnal UnR heater <br /> � Onnking Fountain 6olier <br /> �� Flocr drain Itcingeration <br /> � � Grea,e trap Woodstove <br /> ' R❑of drains Other <br /> Ulllf'f <br /> CIT'OF EVERETT LOCAL SALES TA%COD[IS 7105 <br /> i hereby cent�fy thal I have mad and examined thls appliwtion entl knew the same to be true and corred. All provisiuns ol tavrs and <br /> oMinaces yovcminy this type o(wotk will be complied Hilh whethe�specifed hErein ot not.The yran6ng of a permit tloe5 not presume � <br /> i to plve authority to violate or can�i ihe pmvlsion of nny other state or local law regulatinq construdion orthe pertormance oi �� <br /> � constiudioa That I am authorized by the ewner of this pmperty to pednrtn the�wrk forv.fiich appiicat�on is made and I compry witu the i <br /> � S�ate COfIItdC10f5 L • 10.27 ntl 296200 WAG. <br /> i � l O <br /> Stgnature o �vneUGo itr � 'AuUwnce�Aycnt D te <br />