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( i <br /> PERMIT APPLICATI�DN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 32U0 CEDAR STREE", EVERETT, WA 98201 <br /> 425-257-8810—FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 61TE ADDREBS PARCEL TA%I.D.C PERMIT M '� <br /> 23171 oOTH ST SE 28051700305700 ' <br /> LEGA LOTNO. BLOCK TRACT <br /> OESC. <br /> ONMER C� P <br /> JAMES YAHNS 2317 100TH ST 5E tvarett yd'tue 425-337-2275 <br /> TENANTNAMG COHT�CiFORPERMIT PHONi <br /> Naida Khan 360-945-2787 <br /> CpNiRACTORIA/ESCO ADDRE88 CITV2IP PHONE <br /> V� 2800 Thorndyke SEA??LE Ei00-398•4483 <br /> coNra.uceNse.wASH I ES971 UB <br /> USE OF BUILDINO HEAT SOURC� CONTRACT�RICE OF WORK <br /> SFR I _e�earic �oas_otner I 950.00 <br /> � WORK DESCRIPTION <br /> iReplace gas io gae 50 gallon 40,000 btu weter hQater <br /> PLUMBINCi MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEut N0. TYPE OF FUt7URE OR�TEM <br /> Toilet _ AIC—nirhendllnpuniL� <br /> Bathtub Forcr.Q alr eystemc <br /> _ Levalory�weeh daein) _ �o+p�P�^9 <br /> Shower � Waterheater <br /> Kitchen aink 8 disposel _ Gsa fireplace <br /> �iahwavher [ias rarpe <br /> � V Cbtheswasher Clothesdryer <br /> ' Laundry Irey ^ Ranga hood <br /> � Sink(arrvicelbar/moplelal Exhaust lan <br /> , 6aokllow D��ent¢r _ Heat cump <br /> _ ���a� _ Unit heate� <br /> Drinking Fountain Boiler <br /> Flovrd�ain _ Rr.tngoratron <br /> Grease Ir�p Wnodstove <br /> � Roottliains Other_ <br /> , UNP.� <br /> i — <br /> 1 _ _ — — <br /> i <br /> � CITY OF EVERETi LOCAL$ALES TA%COC,IS 7/06 <br /> I hereby centify Ihat I have read and examined this appticat�on and know th�wma to be Irue entl torced. All provlsione of lawc ond <br /> ordinacee goveming th;s type ol work will be complled with whether epeciGed herein or not The prandng of a permft does not presume <br /> Io give authonty to violale er eancel the proeision ol any olher state or local lyw regulahng cronswaion or the peAormence cI <br /> construcNon.That I am authorized by lhs owner uf thls properly to pedorm the work lor which appllcation is made and I mmpty with the <br /> Sta�e Cantrad ..Law 78,2 W and 28fi.200 WAC. <br /> r�v����� ���-� <br /> S gn0 UfP o UYnef/ Untr CluvAulnonze0 Agent la <br />