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12-20-'11 12:29 FBOf1-n�a permit 13609952091 T-175 P002/O1�3 F-739 <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERE7T, WA 98201 <br /> 4?_5-257-8810— FAX 425-257-e857—www.evereUv✓a.org <br /> APPUCATIONS ARE ACG�PTED FROM 8 AM TO A PM �� �-a D "I� <br /> �ITE ADDRE55 I PARCEL TAX I.D.# v Ei i i IT Ii � <br /> �600 107H AVE SE ooaa2500002soo � � <br /> LEGAL LOY NO. OLOCK TRAC7 <br /> GESG <br /> OWNCR ADDRESS GITY2IP PHONE <br /> IRA TIGNER 8G00 107H AbG SE Everett 98203 425-343-6378 <br /> TCNANT NAME CON7aCT FOft PERMIT PHONE <br /> INaid� Khan 360-945-2787 <br /> CONTRAGYOR 1A/ESCO ADDRESS CITl21P PHONE <br /> °V 2800 Thorndyke SEA7TLE 800-39s-4663 <br /> cor:TR.ucer+sea WASHI ES97� OB <br /> USF OF DUILOING HEAT SOURCE CONTRnCT PRICE OF WORK <br /> SFR �E�edric ��as_other $950 <br /> WORK DESCRIP710N <br /> REPLACE GAS WATER f-IEATER. <br /> PLUMBING MECHANICAL <br /> I ryp, TVPE OF FIXTURE OR ITEM N0. TYPE OF FIX7URE OR ITEM — <br /> Toilet A/C-ai;handling units <br /> BaihWl7 _ Fofc¢(J 01f 5ysl@01S <br /> � Lavatory(wash basin) ,_ Gas piping <br /> J ShoWB� i Waterheater <br /> Kitchen sink&di5po5ai Gas firepl�te <br /> Dishwasher _ 6asrenge <br /> � Clothes w2sher _ Clothas dryer <br /> �� �aundry tray R2nge haad <br /> Sink(servicelbadmop/etc.) � Exhaust fan <br /> � Bac:�.ilow preventer _ Heal pump <br />� _ Urinal _ Unil heatfl� <br /> Drinkin9 Fountain _ Boilor , l� C� <br /> Floor drain _ Refrigeralion I ]� <br /> Grease trap _ Woodstove <br /> Roofdrains _ Olher <br /> Other <br /> CITY OF EVER8IT LOCAL SALES TAX COOE IS J105 <br /> I hereby cerility that I have read antl e%Pmined lhis applicalion and know lhe Same to 6B Irue and�qtr¢ct. All provisionS of lavrs antl <br /> ordineces B0°em5 Jth�s t o(work�vill be c�mplied with whether specified hersin or not. The�ranting of a pem�il does not presume <br /> to{�ive authority lo tolat r�cancei Ihe provision of any othor sta�o or iocal law regulating constNclion or Ihe perlormance of <br /> construction.That I m I nzed by���e ov;ne of ihis p�oPeAy to perform lhe work for which app!icalion is made and I comply with the <br /> Statc Comractors Lati � . R .W'and 29620 WAC. <br /> il � �1/ ��c�.'�Q•-��r <br /> ignalure of OwoedConiracior/Aulhonze Agem Date <br /> I <br /> � � <br /> I <br />