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09-21-'10 11:17 FROM-nw Permit 13609452091 T-453 P002/006 F-776 <br /> � <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 320�CEDAR STREET, EVERET7, WA 98201 <br /> 425-257-8610- FAX 425-257-8957-www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM e AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX 1.0.k ERMIT p <br /> 2318 25TH ST 00437856902902 Cf� ��� <br /> LEGAL LOTNO. BLOCK TRACT <br /> DFSC. <br /> OWNER ADDRESS CINIZIP PHONE <br /> ADRIENNE THOMPSON same as site address ever 98201 425-774-1458 <br /> TENANTkAME cONTACTFORPERMIT PHOHE <br /> INaida Khan/Cyndal Millhollin 360-945-2787 <br /> CONTr.AC70R �n/ESCO ADDRESS CITY/ZIP PHONE <br /> �� 2800 Thorndyke SEA7TLF 800-398-4663 <br />� CONTR.LICENSEN�A/ASHIES.7/ IOB <br /> V9 <br /> U3E OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> RESIDENTIAL _e�ectr�c �.�as_other 4088.00 <br /> WORK DESCRIPTION ' <br /> REPLACE GAS 80K BTU FURNPCE <br /> PLUMBING MECHANICAL <br /> N0. TYFE OF FI%TI1RE CR ITEM NO, TYPE OF FI%TURE OR ITEM <br /> Toilet A�C-air handling units <br /> Bathtub + Forced air syslems <br /> ^ 4avalory(wash basin) _ Gas piping <br /> Shower Waler heater <br /> _ Kitchen s�nk&disposai _ Gas fireplace <br /> Dishwcsher Gasranpe <br /> Clolhes washer Clothes dryer <br /> Laundry tray _ Range hood <br /> Sink(service/barlmop/e(c.) _ Exheustfan <br /> Backflow preventer _ Heat pump <br /> Urinal Uni[heater <br /> Drinking Fountain _ Bailer <br /> Floor drein Re6igeretian <br /> Grease irap _ Woodstove <br /> Roof drains Other <br /> Other <br /> CITV OF EVERETT IOCAL SALES TnX CODE IS 3105 <br /> I hereby ceritify thal I heve read and examined this application and know the same to be Uue and correG. All provisions of laws and <br /> ordinaces goveming lhis type o(work will be complied wllh whelhe�specified herein or not.The granting of e permit dces not presume I <br /> to�ive authority to violate or canoal lhe provision of any olher state or local law regu�ating construclion or the pertormance ot <br /> construction.That I am authorized by the owner of this propeAy to peRorm the work for which applicalion is made and I comply w�th Ihe <br /> State Contracto a 1827 F{ W and 2fl6200 WAC. <br /> Si u Ovmer/C actor/ � �'�21e�6 /� <br />