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05-18-'07 15:31 <br />FROM- <br />T-186 P002/003 F-315 <br />PERMIT APPLICATION 7Dss <br />CITY OF EVERETT PERMIT SERVICES /r/i�ll <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-6857 — www.everettwa.org <br />} <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />PARCEL TAX I.D. A <br />PERMIT A <br />5302-33td'AVeW <br />1.00396700203000 --.-�`fc� <br />I0j-0�3 <br />LEGALl LOT NO. <br />BLOCK <br />TRACT <br />DESC. <br />OWNER ADDRESS CITY/ZIP PHONE <br />Mahlon Urdbal 5302 33rd Ave W, Everett 98203 425-355-8341 <br />TENANT NAME <br />CONTACT FOR PERMIT PHONE <br />Melissa Croda/Northwest Permit Inc 360-945-2787 <br />I <br />CONTRACTOR WESCO ADDRESS CITY/ZIP PHONE <br />CONTR. LICENSE: WASHIES971013 2800 Thorndyke Ave W Seattle, 98199 206-378-6649 <br />USE OF BUILDING <br />HEAT SOURCE <br />CONTRACT PRICE OF WORK <br />Residential <br />_Electric X Gas —Other <br />$950.00 <br />WORK DESCRIPTION <br />Replace a gas to gas 50 gallon water heater <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />NO. TYPE OF FIXTURE OR ITEM <br />Toilet <br />— <br />A/C — air handling units <br />Bathtub <br />Forced air systems <br />Lavatory (wash basin) <br />Gas piping <br />Shower <br />I <br />Water heater <br />_ <br />Kitchen sink & disposal <br />Gas fireplace <br />Dishwasher <br />_� <br />Gas range <br />Clothes washsr <br />Clothes dryer <br />Laundry tray <br />Range hood <br />Sink (service'bildniop/etc.) <br />Exhaust fan <br />Backflow preventer <br />Heat pump <br />_ <br />Urinal <br />Unit heatar <br />Drinking Fountain <br />Boller <br />_ <br />Floordrain <br />Refrigeration <br />trap <br />Woodstove <br />=Grease <br />Roof drains <br />=I <br />Other <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />hereby oerilify that I have read and examined this application and know the same to be true and correct. All provisions of laws and <br />ordinaces governing this type of work will be complied with whelhnr specified herein or not. The granting of a permit does no: presume <br />to give authority to violate or cancel the provision of any other stale or local law regulating construction or the perfomance.f <br />construction. That I am authorized by the owner of this property to perform the work for which application is made and I comply with the <br />Slate Contractors Law 18.27 RCW and 296.700 WAC. <br />-5 5 /7 J <br />Si natura o Own�Conlrac or Aul onzed A ent Dat <br />g <br />L_ <br />