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09-11-'08 14:37 FBOM- <br />1 <br />T-910 P002/002 F-504 <br />PERMIT APPLICATION <br />CITY OF EVCRE,TT PERMIT SERVICES <br />3200 CEDHR STREET, EVERETT, WA 98201 <br />425-257-6810 - FAX 425-257-8857 - www.evereriwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM 70 4 PM �—� a� p� <br />SITE ADDRESS � PARCEL 7AX I.D. il � PERMIT # <br />10502 29TH AVE SE <br />LEGAL LOT NO. BLOCK <br />DESC. <br />OWIJER <br />ROBERT ANGLIN <br />TENANTNAME <br />CONTRACTOR \A/�SCO <br />VV <br />coNrR. uceNSEe WASHIES971 OB <br />USE OF BUILDING <br />SFR <br />WORK DESCRIPTION <br />00852700004400 <br />TR/1C7 <br />10502 29TH AVE SE <br />CONTAC7 FOR PERMIT <br />Naida Khan <br />AODRE55 <br />2800 Thorndyke <br />HEAT 50URC6 <br />_ Eledric � Gas _ Other <br />REPLACE A GAS 70 GAS TANKLESS WATER HEATER <br />N0. � TYpE OF FIXTURE OR ITEM <br />Baihtub <br />Lavalory (wash besin) <br />Shower <br />Kilchen sink & disposel <br />Oishwasher <br />Clolhes washer <br />Laundry tray <br />Sink (seriicelbar/mop/etc.) <br />BackOow preventer <br />Urinnl <br />Orinking Fountain <br />ftoor drain <br />Grease trap <br />Roof drains <br />Other <br />eveaerr, eezas 425-359-2951 <br />PHONE <br />360-945-2787 <br />CIYYI2IP PHONE <br />SEATTIE 206-378-6649 <br />CONTRACT PRICE OF WORK <br />:�� �� <br />NO. � iYPE OF FIXTURE OR I7EM <br />AIC — air hantlling units <br />Forced air systems <br />Gas piping <br />Waler heater <br />Gas fireplace <br />3asrange <br />Clothes dryer <br />Range hood <br />Exhaust fan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />Other <br />GIlY OF EVERETT LOCAL SqLE8 TAX COOE IS 7105 <br />I hereby ceritify lhat I have read and examined lhis appiication and know the same :o be true and rnrrea. All provisions of laws and <br />ordinaces governing Ihis type of work will be complied with whelher specified herein or not. The pranting of a permit does not presume <br />to flive aulhoriry to violale or cancel the provision of any other slate or loral law regulating construction or the performance of <br />construclion. That I am authorized by the owner of Uiis property to padorm the work for which appiication is made and I compry with the <br />State ContraUors Law 18.27 ftC and Z96.200 WAC. <br />i�.C4e-�� gl �! � �r�k <br />