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� PERMIT APPLIC14TION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 982U1 <br /> 425-257-8810-FAX 425-257-8857 <br /> I-�s_�y <br /> � SITE ADDRESS � PARCEL TA%I.D.# PERMIT N <br /> 7621 Timber Hill Dr D06D3700000800 �'�- �-�n� - �'� � <br /> LEGAL LOTNO. BLOLK TRACT <br /> D[SC. <br /> OWNER ADDRE55 21P PHONE <br /> Rodney York 7621 Timber Hill Dr 98203 425-347-5795 <br /> TENANTNAME CON?GCTNAME PHONE <br /> CONTRACTOR ADDRE55 IIP CONTR.LICENSEN <br /> Day 8 Nite 1G614 13th Ave 4! 98037 DAYNIPH044CM <br /> PHONE <br /> 425-775-6464 _ <br /> PROPOSEU USE OF BUILDING 8uilding n( MechaniWl Adaition HEAT SOURCE <br /> I PERMI7 � Comb�nation �-� Plum6ing IWORK � Altcra6on I � Electnc <br /> HOUB� 1YpE Demolilion L] Sign T'PE New Gas <br /> Sprinkler RepaidMainl. Other <br /> CONTRAC7 PRICE OF WORK /y y�7 � ��� CITY OF EVERETT LOCAL SALESTA%CODE IS 7105 <br /> .� <br /> WORKDESGRIPTION Replace old Gas Furnace w/ New Convert Elec heat to Gas <br /> I <br /> � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. T'PE OF FIXTURE OR ITEM <br /> I _ WATERCLOSET A/C-AIHANDLINGUNITS <br /> � _ BATHTUB 1 FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK 8 DI5POSAL CLpTHES DRYER <br /> DISIiWASHER RANGE HOOD <br /> LAUNDRY TF2AY WATER tiGATER <br /> CLO7HES WASHER METALFIREPLACFJSTOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLAC[ <br /> FLOOR DRAIN GAS RANGE <br /> , BACKFLOW PREVENTER 1_ GAS PIPING <br /> _ SINK(SERVICElBAR/MOP/ETG) E%HAUSI FAN <br /> OTHER OTHER <br /> il � �-_-- ----- — ---__ <br /> � <br /> iI HEREOV C[RITIFY THAT I HAVL RL�D AND E.`(AMINEU THIS APPLICA710N AND HNOW THC-SAMG TO O[TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS A�D JRIUINACLS GOVERNING THIS TYPE OF WORK WILL BE COM1IPLIED WITH WHETH[R SP[CIFIED H[REIN OR <br /> I NOT THF GRANIING OF A PERMIT DORS NDI PRESUME TO GIVE AUIHORI7V TO VIOLATE OR CANCEL iH[PROVISION OF ANY OTHER <br /> STAT[OR LOCAL lAW REGI ILATING CONSI HUCTION OR THE PERFORAMNCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> IOIYNER OF THIS PROFERTY i0 PEI:ORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS IA 8�1 k:.W Nry�`796200 WAC. <br /> I �� i . <br /> .1��=l �i� �i� y <br /> Signalure of O -ntracto Aulhodzed Agenl Date <br />