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�9-19-'07 13:09 FROM- <br />SITE AODRESS <br />1�12 22ND ST <br />LEGAL� LOT NO. <br />DESC.� <br />JUnY ABLES <br />TENANTNAMF <br />CONTRACTOR WESCO <br />PERMIT AF'PLICATION <br />CITY OF EVERETT F'ERMIT SERVICES <br />32G0 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-25?-8857 - www.everetiwa.org <br />T-fi18 F�02/0�3 F-251 <br />APPLiCATIONs ARE ArCEP7ED FROM 8 Af� TO 4 PM 9— l A�O % <br />BLOCK <br />CON7R. LICENSE N, n r n� L7 I��n� � O p <br />IIV/1 [ I 7 IJ <br />11SE OF 6UILOING <br />sr-R <br />WOFK DESCRIPTION <br />PARCEL'i'+X I.D. # <br />Q0�' .i�J148003102 <br />TRFCT <br />1512 22ND ST <br />CONT4CT FUR VERM17 <br />Naida Khan <br />aooRESS <br />2800 Thcrndyke <br />pERM1T 1i <br />(�1o70�r-0 3/ <br />evereusezoi 425-293-4302 <br />PHONE <br />360-945-2787 <br />CITYIZIp PHONE <br />SEATTLE 206-378-6649 <br />HEAT SOURCE CONTRACT PRICE OF WORK <br />_ Electric � Gas � Other � �1 � � t? • �`U <br />Replace oil to gas 250k btu boiler; i�is!all 20' gas piping to boiler; install backflow proventer <br />PLUMBING <br />NO.. I TYPE OF FIXTURE OR 17EM <br />7oilet <br />E3alhlub <br />Lavalory (wash basin) <br />Shov�er <br />Kilchen sink & disposal <br />Dishwasher <br />Clothas washar <br />Laundry Lay <br />Sink (service/badmop,'etc.) <br />Backllow preventer <br />Urinal <br />Prinking Fountain <br />Floordrain <br />Grease trap <br />Root drains <br />Olher <br />N0. I 77PE Of FiXYURE OR ITEM11 <br />A/C - air handling uni�§ <br />Forced air systems <br />i Gas pi�zing <br />Weter I'�ealer <br />T Gas fire�lace <br />'� Gas renge <br />ClQlhes dryor <br />Range hood <br />Exhaust fdn <br />� Heatpump <br />� Unit heator <br />� Boilor <br />Re(riperation <br />Woods�ove <br />OUter <br />Clri OF EVERE77 LOCAL SALES TAX CODE IS J105 <br />I hereby cerili(y Ihat I have read and examined Ihis applicalion and know �ho same �o be iNe and correct. All provisions of laws and <br />ordinaces yoveming tbis typa o( wa�. witl he complied with whether specified herein or not The granting of a pemiit daes nat presume <br />to yivo authonty to violala or cancel ths provision of any other slate or Iocal law regulatinp construc'ion or lhe pertormance o( <br />c4nstrudion. That 1 am au6iorized by the oH�ner of lhis propeAy to pedorm the work (or which application is made and I wmply with the <br />State CoNrndors Lnw 10.3,7 RCW end 298.200 WA0. ` <br />ii1 /l/yi��l',�'�,Lr�- � lg �0 � <br />