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11-19-'07 11:39 FROM- <br />1 <br />I�ERMIT �►.PPLICATION <br />CITY OF EVERETT PERII�IIT SERVICES <br />3200 CEDAR STREET, E'VERETT, WA 98201 <br />425-257-881 D— FAX 425-257-8857 — www.everettwa.org <br />T-830 P003l�04 F-759 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ��_ iy -�7 <br />SITE ADDRESS PARr,EL TAX I.D. # aERM1T d <br />7509 177H AVE 5E o043250000�so0 M U111 �� <br />IEGAL LOT NO. 6LOCK TRACT <br />DESG. <br />OWNER ADORESS CITYIZIP PHONE <br />CHELSEA GOULD 7509 17TH AVE SE Everett 9�3203 206-660-8960 <br />TENANTNAME <br />CONTRACTORIAlESCO <br />VV <br />CONTR. LICENSE #,A/AS H I ES97 � OB <br />HV <br />uSE OF eul�oiNG <br />SFR <br />WORK DESCRIPTION <br />CONTACT FOR PERMIT <br />Naida Khan <br />AOORESS <br />2800 Thorndyke <br />HEATSOURCE <br />� Elearic _ Gas _ Olher <br />Replace Oil to Eleclric 36,000 btu furnace; install 3 ton heat pump <br />NO. <br />PLUMSING <br />TYPE OK FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash ba9inj <br />Shower <br />Kilchen sink & disposal <br />Dishvnsher <br />Clothes washer <br />Laundry Uay <br />Sink (service/badmop/etc.) <br />Dackliow preventer <br />Urinat <br />Drinking Fountain <br />Floor drain <br />Grease lrep <br />Roof drains <br />Ottier <br />PHONE <br />360-945-2787 <br />CITYIZIP PHONE <br />SEATTLE 206-378-6649 <br />CONTRACT PRICE OF WORK <br />13850.84 <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/G —aIr hantlling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gaa range <br />Clothes dryer <br />Range hood <br />Exhaust fan <br />Heat pump <br />Unit healer <br />Boiler <br />Rcfrigeration <br />Woodslove <br />Other <br />CITY OF EVERETT LOCAL SALES TA7( CODE IS 3106 <br />I hereby ceritify thal I have read and examined ihis application and know the same lo he true and corred. All provisions oF laws and <br />ordinaces c�ovening this type of work witl be comDlied with whelher specified herein or noL The granling of a permit does not presum2 <br />to give authority to violate or cancel the provision of any olher state or local law regula6ng construclion or ihe portormance of <br />conslrudion. That I am authorized hy the owner of this property to pertorm the work for which applicaGon is made and I r,omply with (he <br />State �t ctors Lav� 18.27 RC nd 296.200 WAC. <br />�(if �- �L-, (��/ U �/J1 <br />