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09-16-'08 10:21 FROM-� <br />SITE ADDRESS <br />705 33RD ST <br />LEGAL l0T NO. <br />DAVID MILLER <br />TENANTNAME <br />CON7RACTOR�nIESCO <br />vv <br />T-919 P002/004 F-520 <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAf2 STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — wvuw.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM 70 4 PM <br />BLOCK <br />CON7R. L�CENSE d, n rAS �,,,� � ES•97 � � B <br />vv <br />USE.OF BUILDING <br />SFR <br />WC;tK DESCRIPTION <br />PARCEL TAX I.D. if <br />00561900800500 <br />TRACi <br />705 33RD ST <br />CONiACT FOR PERMIT <br />Naida Khan <br />AODRESS <br />2800 Thorndyke <br />HEATSOURCE <br />_ Electric �, Gas _ Olher <br />� �)b —o� <br />PERMIT p <br />�CD,P�7�i-dL0 <br />EVERETf, 98207 425-322-4644 <br />PHONE <br />360-945-2787 <br />CITYIZIP PHONE <br />SEATTLE 206-378-6608 <br />INSTALL A BACKFLOW PREVENTER FOR A BURNHAM BOILER <br />NO. I 7YPE OF FIXTURE OR I7EM <br />TOiICt <br />Bethlub <br />L•evatory (wash hesin) <br />Shower <br />Ki(chen sink & disposai <br />Dishwasher <br />Clothes washer <br />Laundry Iray <br />Sink (servicelbadmop/alc.) <br />BackOow prevenler <br />Urinel <br />Orinking Fountain <br />Floor drain <br />Grease irap <br />Roof drains <br />Other <br />CONTRACT PRICE OF WORK <br />:• : �� <br />N0. I TYPE Of fIXTURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />—� Gas piping <br />Water heater <br />J Gas fireplace <br />Gas range <br />� Clolhes dryer <br />Range hood <br />Exhaustfan <br />Hoat pump <br />Unit heater <br />� Boiler <br />Refrigeration <br />Woodslove <br />Other <br />CI7Y OF EVERE7T LOCnI SALES TAX CODE IS J106 <br />I hereby ceritlty lhat 1 have read and examined lhis appliwlion and know the same to be trua and wrred. NI provisions of IaHs and <br />o�cfinaces governing this type of work wiu be complietl wrih whether specifed nerein or not. The gr�nting of a permit dces not pres��me <br />lo qiva aulhority to violate or cancel the provision of any other state or 1oc21 law regulaling wnstruction or the pedormance of <br />construction. That I am authorized by the owner of this property lo pe�orm ine work for which application is made and I comply with the <br />State Contrac(ors �aw i 8 27 RCN' and 2�J6.200 WAC. <br />�i'LI�u.P,Pa.�O(��. � 1�0�(7� <br />