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To E Page 10 of �5 20i S�Oy.2q 2? �7 55 (��,1T) 788Ba000383 Fro,^i Oeboran SnielCs <br /> PERMIT APPLICATION <br /> I C4TY OF EVERETT PERMIT SERVICES <br /> �, 3200 CEDAR STREET, EVERETT, WA 98201 <br /> ; 425-257-8810 — FAX 425-257-8857 —www.everetlwa org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM q --a s -� � <br /> � SITE ADDRESS PARCEL TAX I.D.# P R�'1LT / �O <br /> 3015 24TH ST 00515850300102 �'� <br /> I LEG� LOTNO. BIOCN TRACT <br /> � Des.r, <br /> OWNER AODRESS CITV/ZIP PHONE <br /> LINDA DIAZ 3015 24TH ST Everett 4252991718 <br /> � TENANT NAME CONTACT FOR PERMIT PHOHE <br /> INaida Khan 360-945-2787 <br /> CGN7RACiOR AODRESS CITV/ZIP PNONE <br /> Washinglon Enr.rgy Svcs Co. LLC 3909 196th St SW Lynnwood 800-398-4663 <br /> cor+TR.uceNse a WASH I ES851 NS <br /> USE OF BUILDING HEAT SOURCE I CONTRACT PRICE OF WORK <br /> SFR I eir�t�ic �Gas_o;r�e: 1425.81 I <br /> I — <br /> WORK DESCRIPTION <br /> REPLACE GAS WATER HEATER. <br /> PLUMBING MECHANICAL <br /> NO. TVPE OF 61XTURE OR ITE�A NO. TYPE OF FIXTURE OR ITEM <br /> l�oilol _ A/C-a�r handlicg units <br /> �athWb __ Forced air syslems <br /> ' Lavatory(wash basin) _ Gas pipmg <br /> Shower _ 'Nat?r heater <br /> Wtd�en sink&d�spusai _ Gas fireplace <br /> Dishwa5her _ Gas range <br /> CIO�heS wdsher __ ClolheS dryer <br /> i Laundry lray _ Range h�od <br /> Sink (scrvicePoarlmoplcl�.) Exhausl lan <br /> Back(IoN prevenler _ Heat pump <br /> I _ Unnel _ Und hea�ef <br /> _ Dnnkmq Fcuniam _ 6otlet <br /> Fioor dram Refrigeration <br /> � Grease trap _ WooOstave <br /> i = Roof drains = Other___. <br /> Olher <br /> � — - — -- -------- <br /> i <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 1105 <br /> II he�e6y cenUfy that I have read and exammed ihis epphcalion and know lhe same lo be lrue and correct All pwvisions of lavis and <br /> ; ordinaces goveminy Ih�s rypo cf work wdl be complied w�th whelher specified herein or nol The granting of a permit does not presume <br /> to grve authonry[o violate or cancel the provis�on of any o;her state cr local law regulaung constru.tiun or the performance of <br /> construcfion 7hat 1 am authonred by lhe owner of this property to Derform ihe work for which apphcaGon Is made and 1 comply vnth the <br /> State Con, rinfe i �4;,���' . W ar,d 29o��Q.�r°"in.�� ,.,.,,,rc..a„ <br /> �; <br /> ' L�l! J r�llO.t J�MJ� rn�.l �^I:^�T`..I(nr' <br /> Y I ,r��� � Ui <br /> � Signa— ture b� v..� ���.,� �-+„iu��� +utnonzed Agent �"� Date <br />