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03-05-'08 12:18 FROM- T-327 P002/BDZ F-563 <br /> �- PERMfT APPLICATiON <br /> CITY OF EVER�TT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-a810- FAX 425-257-8857-www.everetlwa.org <br /> APPLICATIONS ARE ACCEPTED PROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.# P�RMIT# <br /> 10424 10TH DR SE 006970000C3400 D�ti - 00 <br /> LEGAL LO7N0. BLOCK TRNCT <br /> DESC. <br /> OWN[R AOORESS CIN121P PHONE <br /> SAM DEMARCO 10A24 10TH DR SE, Everett 98208 425-210-2440 <br /> TENANTNAME cONTncTFORP[am17 PHONE <br /> Naida Khan/Northwest Permit Inc 360-945-2787 <br /> CONTftACTOR WESCO aooaess cimziP vuon. <br /> CONTFt.LICENSE# WASHIES9710B 2800 Thorndyke AvP W seattie, 98199 206-378-6649 <br /> USE OF Bl11LDING HEAT SOURCE CONTRACT PRICE O�WORK <br /> Residential _E�e�,��� X�as,_.otner $950.00 <br /> WORK DESCRIPTION <br /> Replacing a gas to gas 50 gallon wa!er heater <br /> PLUMBING M�CHANICAL <br /> N0. TVPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR�TEM <br /> _ Toiiet A/C–air hanclling unils <br /> 6a�htub Forced air syslems <br /> _ Lavatory(w2sh basin) � Gas piping <br /> Shower � Walornea��r <br /> Kilchen sink 8 disposal Gas fireplaco <br /> Dishwashor Gasrange <br /> _ Clothes w2sher ,, Clothes dryer <br /> Launtlry Iray Fange hood <br /> _ Sink(servicelbar/mop/etc.) ExhaUsl fan <br /> 8ack0ow prevenler H001 pump <br /> ^ Urinal Unit healer <br /> Drinhinp Founlain � Boiler <br /> _ Fioor drain Refri�eralion � <br /> Graase trap Woodstove <br /> � Roof drains Other ' <br /> Olher <br /> CIN OF EVERETT LOCAL SAI.ES TAX CODE IS J105 <br /> I hereby a:ritify thnt I have read and examined this application and know Ihe satne to be true and correcL Ail provisions o(laws and <br /> ordinaces goveminc�Ihis lype of work will he campiied wllh whethef spCCifed hefeln of OOL The c�ranting o1 a pbrmi(does not presume <br /> (o give authoriry(o viotato or c2ncel�he pruvision of,rty olher stala or local law regulating conslruction or ihe peAormance of <br /> construaion.That I am aulhorizetl by Ihe owner of this property to peiform Ihe work for which application is made and I comply with the <br /> St�te Co nclors La��18 27 RCW and 2962GQ WAC. <br /> �,�IM,�.�.G�¢,� lNv�v�C,P� �, �� <br /> Sic�nalure of Ow e ConvactonAinhorired Apent Date <br />�— –___ ..._ - -- <br />