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_ "____ _. _— '_ — . . __ _I <br /> � <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 320� 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 � ��6 - i3 <br /> SITE ADDRE55 PARCEL TAX I.D. # PERMIT# <br /> 516 47th ST SE I 29o53i003o5700 /lill3�� �� <br />. LFGALI LOT NO. BLOCK TRACT <br /> DESC � <br /> OWNER l�DDRESS QTY21P PHONE <br /> W�LTER BKOOKS AND JEANETTE ALLEN 516 47th ST SE EvereU 98203 425-493-41 19 <br /> TENANT NA61E CONTACT FOR PERG7IT PHONE <br /> Naida Khan 360-945-2787 <br /> CONTRACTOR �A/ESC�O AODRE55 � CJTY2IP PHOtlE <br /> VV 3909 196th St SW Lynnwood 800-398-4663 <br /> CONTR. LICENSE�t WASHIES971 OB <br /> USE OF BUILDIFJG HEAT SOURCE � CONTRACT PRICE OF WORK <br /> I �� <br /> SFR I _Fin�[fIC �GdS_Olhdf I 5�]�' /Z �/n <br /> l�" w <br /> WORK DESCRIPTIOtI ' <br /> Tankless gas water heater with �0' yas pipiny. 24k mini split heat pump. 33k gas freplace � <br /> with 20' gas piping. <br /> PLUMBING MECHANICAL , <br /> NO. TYPE OF FIXTURE OR ITE�d N0. TYPE OF FIXTURE Oft ITEtA �� <br /> Toilet NC —an handhng urnts <br /> Eathtub Forcetl au systems <br /> Lavatory (��,ash basin) ? Gas pipmg <br /> Shov:er � Water heater <br /> Kachen sink & tlisposal _�_ Gas lireplace <br /> Dishwasher Gas rarge <br /> Cloihes w.3sher Clothes dryer <br /> Laundry tray Range hood <br /> Smk (service/bar/mop/etc ) Ethaustlan <br /> Bachtlow preventcr � Heat pump <br /> Unn�i Unrt heater <br /> _- pnnhing Fountain Bolicr <br /> Floor Aram Reingeral�on <br /> Grcase�rap Woedslv�c <br /> Roof Arains O[her <br /> Gihef <br /> CITY OF EVERETf LOCAL SALES TAX COOE IS 3105 <br /> I hereby cerddy that I have read and e,:amined this appl�cahon and hnow the same to be true ana correct FII provisions ol lavvs and <br /> ortlinaces goveming thisrype of w9rk�+nil be complied with whether specfietl herem or not. The granung of a permrt does nct presume <br /> to grve authonry to violate or cancel ihe provis�on of any oUier state or local law regulaling mnslrucUon or the peAormanCe of <br /> construclion Tha[I am authonzetl by the owner of Ih�; property to perform the work for whzh appiicatwn is matle antl I comply wRh the <br /> State Ccntroctors Law 18 27 RCW and 296 200 WAC <br /> Diyaeilv o�qnc�b���aida rl�an <br /> N�i�a Khan �.: : ._�.::::.r ,.�_.._,:. ,�„�.,� .. <br /> '�aA-m�ia:nw�:cinumm.a=US" <br /> SignatureotOwneUConlractor/A��th65�[aa�Agen[se,�<z�wo� Date <br />