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�.. F•e...�n o.,N..n..,�..� n..u.. v..r o >u�.�.cz.vs o�. an ie �or.�r� inenroomr�� .�,.., u..r,�...� ��,�.,�a. <br />SI7E A�DRESS <br />10501 29th Ave SE <br />LEGAL l0T NO. <br />DESC <br />Duane Peterson <br />TENANTNAME <br />CONTRACTOR �AIESCO <br />VV <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 a�aS <br />PARCEL TA% I.D, tt <br />o085z7000o2500 <br />BLOCK TRACT <br />CONTR. LICENSE e WASH I ES971 OB <br />USE OF BUILDING <br />SFR <br />WORK DESCRIPTION <br />REPLACE GAS WATER HEATER. <br />NO. I TVPE OF FI%TURE ORITEM <br />Totlet <br />Bathtub <br />Lava,ory (wash basin) <br />Shower <br />Kltchen s�nk g d�spusal <br />Dishwasher <br />ClcVies �m;her <br />Laundry tray <br />Sink (service/bar/mop�etc � <br />�ackflow prevenler <br />Urinai <br />Drinkmg Fountan <br />Floor drain <br />Greasetrap <br />Roof drains <br />Other <br />10501 29th Ave SE <br />CONTAGT FOR PERMIT <br />Naida Khan <br />AODRESS <br />3909 196th St SW <br />HEATSOURCE <br />_ Electnc � Gas _ Other <br />PERMIT N <br />n�Uo2- o�D <br />Evereit 98208 4253385945 <br />PHONE <br />360-945-2787 <br />CITY/LP PHONE <br />Lynnwood 800-398-4663 <br />CONTRACT PRICE OF WORK <br />$950 <br />NO. � TVPE OG FI%TURE OR ITEM <br />rVG — alr hantlling unds <br />Foreed air systems <br />Gas p�ping <br />+ `Nater heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Rangehood <br />Exhau:tlan <br />Heat purnp <br />UNt healer <br />Boiler <br />Refrigcrahon <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS �105 <br />I hereby cerilify ihat I have read and exammed this application and know the same to be we and conect All prowsions of I;ws and <br />ordinaczs goveming this type uf work vnli be complied with whether specified herein or not. The granhng of a permil tloes nol presume <br />w give au!hority to vrolate or cancel the provision of any other state or local law regulating con;truction or th? performance ot <br />Cons�udwn, That I am authorized by the owner of this prop2rty to perform the work for which apphcation is made and I comply with the <br />Stale Contractors Law 18.2i RCW and 29o".20D WAC. <br />A 1 U�9�ially., gned byHa�da Man <br />1\I '� ��"1 '� � h� n �. Ult cn=Haida �han. o-Nonhwes: 7erm t int, <br />?JISO?.7d 19 35�.10 �Ofi00' <br />