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To. Permit Department Page 8 of 11 2014-09-10 05. 18 54 (GfAT) 18854000383 From Deborah Shields <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.eve,,ettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM OO ` l d — I <br />SITE ADDRESS <br />PARCEL TAX I.D. 9 <br />PERMI q <br />10217 7TH AVE SE <br />00482200000200 <br />( (" -070 <br />LEGAL LOT NO, <br />DESC <br />BLOCK <br />TRACT <br />OWNER ADDRESS CITYRIP PHONE <br />GREG NYGARD 10217 7TH AVE SE Everett 98208 425-876-7370 <br />TENANT NAME CONTACT FOR PERMIT PHONE <br />INaida Khan 360-945-2787 <br />_ <br />CONTRACTOR WESCO ADDRESS CITYIZIP PHONE <br />VV 3909 196th St SW Lynnwood 800-398-4663 <br />CONTR. LICENSE e WASH I ES971 OB <br />USE OF BUILDING <br />HEAT SOURCE <br />CONTRACT PRICE OF WORK <br />SFR <br />_ Elecmc V-( Gas _ Other <br />5950 <br />WORK DESCRIPTION <br />REPLACE GAS WATER HEATER. <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />NO. TYPE OF FIXTURE OR ITEM <br />_ <br />Toilet <br />_ <br />A/C - air handling units <br />_ <br />Bathtub <br />Forced air systems <br />_ <br />Lavatory (wash basin) <br />_ <br />Gas piping I <br />Shower <br />I <br />Water heater <br />_ <br />Kitchen sink & disposal <br />Gas fireplace <br />Dishwasher <br />Gas range <br />Clothes washer <br />Clothes dryer <br />_ <br />_ <br />Laundry Iray <br />Range hoodt1 <br />_ <br />Sink (service/bar/mopletC.) <br />Exhaust fan <br />Backflow preventer <br />Heat pump <br />Urinal <br />Unit heater <br />_ <br />Drinking Fountain <br />Boiler <br />_ <br />Floor drain <br />Refrigeration <br />_ <br />Grease trap <br />Woodstove <br />_ <br />Roof drains <br />Other <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />thereby centity that I have read and examined this application and know the same to he true and correct. All provisions of laws and <br />ordinates goveming this type 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 regulating 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 />Sh:e Contractors Law 18.27 RCW and 296.200 WAC, <br />han rN9lmnlgnnllNNe'eL "'in-DN. McWdAk Mu M*wtvll'erm'Ilnc.w. <br />mW!elaeNnrrperrrlrmm. a -US <br />Signature of Owner/ContraelodAutPVonzeld'AgdMm min Dale <br />