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i ! <br /> PERMIT APPLICATION � <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETi', WA 98201 <br /> 425-257-8810—FAX 425-257-8857—www.evereriwa.org <br /> APPLIGAT10N5 ARE ACCEpTED FROM 8 AM 70 4 PM <br /> SITE ADDRESS PARCEL TAX I.O.A PERMIT N <br /> 10205 7TH AVE SE 00482200000101 MUZo`� -�Z� <br /> LEC�A LOT NO. B�JCK TRACT <br /> �ESr, <br /> ONMER ADDRESS CITYILP PHOfYE � <br /> HELEN KELLEY '10205 7TH AVE SE Everett fl820E 425-353-7657 <br /> TENA!(T NAME CONT��T FOR PERMIT PHONE I <br /> Naida Khan 360-945-2787 <br /> CONTRACTOR 1nIESCCJ �DRE33 GTY/aP PMONE <br /> VV 2800 Thorndyke SEATTLE 206-378-6649 <br /> °°r��."`E"gE"WHSHIESS71 OB <br /> U9E OF BUILDINO HEAT SOURCE CONTRAGT PRICE OF WOi:K� <br /> SFR _Eie«�;� �Gas_Other 950.00 <br /> WORK DESCRIPTION <br /> Replace gas to gas 50 gallon water heater <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR REM NO. TYPL OF FIxTURE OR ITEM <br /> _ Toilet AIC—airhandlingunits <br /> Bathtu6 � Forced air systems <br /> ` Lavatory(wesh hasin) Gas piping <br /> _ Snower i WBt�t hB8t2r <br /> Kitehen sink 8 disposal Gas fireplace <br /> Dishwasher _ Ges ranpe <br /> � Clotbes washer CIoll1@s aryer <br /> Laundry tray Range hood <br /> _ Sink(servicelbarlmop/etc.) _ Exhaust(an <br /> _ Badt9ow praventer I IeEt pump <br /> Urinal Unit heatar <br /> _ Drinking Fountain _ Boiler <br /> ^ Floord2in Retrigention <br /> ,_ Grease hap Woodsto�e <br /> Roof drains Other <br /> _ Other <br /> CITY OF EVENF IT 4UCAL SALES TAX COOE IS 3105 <br /> I hereby ceritity that I have read end examined this application and know the ssme to be true and correG. All provisions of laws and <br /> nrdinaces governing this typa ef werk will pe compilad with whether cpecifed hercln or not.The gr6nti�g of e pertnit does not presume <br /> to give authority to violate or cencel the provision of eiy other state or local law regulating consWction or the performana of <br /> construdion,That I em auihorized by the owner of Ihis property to pertorm t e vrork for whieh application is made and I comply with the <br /> State.^.ontract rs Law 19.27 RCW and 9.fu'i 900 wqC. <br /> , l� �. <br /> Signature of Owner/ o t aaor/Authorized uent Oate <br /> V <br />