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06-20-'12 11:52 FROM- Nerthv,,�st Permit INC 13609450291 <br />T-169 P0002/0003 F-129 <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 B AM TO 4 PM <br />b <br />PARCEL TAX I.D. # <br />PERMIT # <br />1 <br />SITE ADDRESS <br />810 33RD ST <br />00583978300300 <br />LEGAL LOT NO. <br />BLOCK <br />TRACT <br />OESC. <br />ADDRESS CITY/ZIP <br />PHONE <br />OWNER <br />GARY & LINDA WAGAR 810 33RD S f Evorelt 98201 <br />425-252-2252 <br />TENANT NAME <br />CONTACT FOR PERMIT <br />CONTACT <br />PHONE <br />360-945-2787 <br />Khan <br />CONTRACTOR WESCO <br />CONTR. LICENSE# WASHIES9710B <br />USE OF BUILDING <br />SFR <br />WORK DESCRIPTION <br />Replace 80k Ycrk 95% gas furnace <br />NO. TYPE OF FIXTURE OR ITEM <br />ADDRESS CITY/zIP PHONE <br />Z 800 Thorndyke SEATTLE 800-398-4663 <br />HEATSOURCE <br />Electric L Gas —Other <br />CONTRACT PRICE OF WORK <br />3533.16 <br />NO. i TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sink (service bar/mop/etc.) <br />Backllow prevenlei <br />Urinal <br />Dr6 •g Fountain <br />Floor grain <br />Grease trap <br />Roof drains <br />Other <br />1 <br />—_ <br />_ <br />—_ <br />I — <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaust fan <br />Heat pump <br />Unit heater <br />oiler <br />BBoiler alien <br />Woodslove <br />Other. <br />_ <br />_ <br />— <br />_.___ <br />_ <br />_ <br />— <br />CITY Or EVERETT LOCAL SALES TAX CODE 15 3105 <br />I hereby centily, that I have read and examined this application and know the same to be true and correct. A! provisions of laws and <br />ordinates governing this typo of work will be complied with whether specified herein or not. The granting of a permit does not presume <br />to give authority to violate or cancel the provision of any other state or local law regulatirg construction or the performance of <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 />State Contractors Law 18.27 RCW and 2g8200 WRAC. rr e.g <br />Mnrh <br />4u'r 9 <br />Jennifer Burgess D�mrwnnrEtrvrn•.l . <br />r`r <br />PL1Wi,�mil_jrm,MNwpNmit�� <br />