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07-02-'09 11:07 FROM-nto permit 13609452091 T-508 P002/004 F-424 <br />I <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 />r <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />PARCEL TAX I.D. H <br />PERMIT Ik <br />213 50TH ST SW <br />00606300001300 <br />LEGAL LOT NO. <br />BLOCK <br />TRACY <br />DESC. <br />OWNER ADDRESS CITY/ZIP PHONE <br />GLORIA BAKER 213 50TH ST SW EVERETT9820, 425-259-2698 <br />TENANT NAME CONTACT FOR PERMIT PHONE <br />INaida 360-945-2787 <br />Khan/Northwest Permit Inc <br />CONTRACTOR , ESCO ADDRESS CITY/ZIP PHONE <br />VVGO 2800Thorndyke SEATTLE 800-398-4463 <br />CONTR. LICENSE E r A/ ^ SHi ES97A Oo <br />V^JI 1 L 7 1 IJ <br />USE OF BUILDING <br />HEAT SOURCE <br />CONTRACT PRICE OF WORK <br />SFR I <br />_Electric Gas Other <br />$950.00 <br />WORK DESCRIPTION <br />install gas to gas 50 gallon water heater QsG�t�i'r&n <br />L x_c Ck�. <br />Sif <br />PLUMBING ckk6 C_ rtryc <br />-ItvK cyie_ `•5 MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM in 0 V, I v%C' J <br />NO. TYPE OF FIXTURE OR ITEM <br />Toilet <br />_ <br />A/C — airhandlingunits <br />Bathtub <br />_ <br />Forced air systems <br />Lavatory (wash basin) <br />, <br />Gas piping <br />Shower <br />I <br />Water heater <br />Kitchen sink 8 disposal <br />Gas fireplace <br />Dishwasher <br />Gas range <br />Clothes washer <br />Clothes dryer <br />^_ <br />Laundry tray <br />Range hood <br />Sink (service/bar/mop/etc.) <br />Exhaust fan <br />Backflow preventer <br />Heat pump <br />Urinal <br />Unit healer <br />Drinking Fountain <br />Boiler <br />Floor drain <br />Refrigeration <br />Grease trap <br />Woodstove <br />_ <br />Roof drains <br />_ <br />Other <br />Other <br />— <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 71106 <br />I hereby ceritify that I have read and examined this application and know the same to be true and correct. All provisions of laws and <br />ordinates governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume <br />or local law regulating Lenstruction or the performance of <br />to give authority to violate or cancel the provision of any other state <br />construction. That I am authorized by the owner of this property to perform the work for which application is made and I comply with the <br />State Contractors Law 18.27 RCW and 296.200 WAC. <br />ignature o Owner/Contractor/Authorized Agent Dates-T <br />