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12-08-'98 15:30 FROM- T-145 P602/002 F-856 <br /> � 1 <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 �� —�--{�� <br /> SITE ADDRESS PARCEL TAX I.D.N PE��T� <br /> 5111 23RD AVE W 0066980000060o I Z- — U2y <br /> LEGAL LOT NO. eLOCK TRACT � <br /> DESC. <br /> OWNER . ADDRESS CItt21 PHONE <br /> MARC LASHUA 5111 23RD AVE W EVERETT,wA g8203 <br /> TENANT NAME CONTACT FOR VERMIT PHONE <br /> INaida Khan 360-945-2787 <br /> CONTR4GTOR \A/ESCO ADORESS CIT//ZIP PMONE <br /> �� 2800 Thorndyke SEATTLE 206-37&-6649 <br /> CON7R LICENSE M,Ar^Cu ICC(�7�O� <br /> vvi•��i � ���r <br /> USE OF BUILDING HEAT SOUIiCE I.ONTRACT PRICE OF WORK <br /> SFR _E�edric �Gas_Other I 4931 .00 <br /> WORK DESCRIPTION <br /> REPLACING A GAS TO GAS BRYANT 100K BTU FURNACE. <br /> PLUMBING MECHANICAL <br /> NO. TVPE OF FI%TURE OR ITEM N0. TYPE OF FIX7UNE OR IYEM <br /> Toilel ivC—air hantlling units <br /> � Bathtub � Forced air systems <br /> Lavatory(wash basin) Gas piping <br /> � Shower �' Water heater <br /> Kitchen sink&disposal Gas fireplace <br /> Oishwasher ! Gas range <br /> Clolhes washer Clothea dryer <br /> Laur.dry tray _ Range hood <br /> Sink(sarvice/badmop/etc.) EMhaust fan <br /> �' 8acklluw preventer T Heat pump � <br /> Urinal Unit heater <br /> Drinkiny FouMain _ Boiler <br /> Floor drain Refrigeration <br /> Grease Vap Woodsrove <br /> Roof drains Other <br /> Other <br /> CITY OF EVERETY LOCAL SALES TA%CpOE IS$105 <br /> I hereby caritify that i have read and examined this application and know Ihe same to be true and ccrren. All provisions of laws and <br /> ordinaces governing fhis type of work will be complied wilh whether specified herein or not.The granting ot a permit daes no[presume <br /> ro give authority to violate or cancel the provision of any other state or local iaw regu!at�ng constn,ction or the oertormancs of <br /> construction That I am authorized by Ihe owner of ihis propert/to peAorm me vrork for which application is made and I comply with the <br /> Siate Contract aw 1827 RCW and 296.200 WAC. !/ <br /> �_�tititi � �b (f� <br /> Signature of Owneri ontr ¢t r Au orizetl Agert a[e <br />