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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT. WA 98201 <br />425-257-8810 — FAX 42r257•8857 — �w�^N.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRE55 <br />2821 104TH PL SE <br />I f J.AL LOT NO. <br />DE�: <br />MONGKOL & PISEY KONG <br />TENANT NAME <br />CONTRACTJR 1A/ESCO <br />vv <br />CONTR. UC E NSE N W^� H I E S 97 � O B <br />f� <br />USE OF BUILDING �, <br />Residential <br />WORK DESCRIPTION <br />Replace 60h G�S FURNACE <br />PLUMBING <br />NO. I TVPE OF FI%TURE OR ITEM <br />Toilel <br />BathtuU <br />Lavatory (wash basin) <br />Shower <br />Y,itchen sink 8 dlsposal <br />Dishwasher <br />Clothes washer <br />Laundry Irey <br />Sink (service/bar/mop�etc � <br />Backllow prrventer <br />Unnal <br />. Drinking Fountain <br />Floor dium <br />Grease trap <br />Root drains <br />Other <br />PARCEL TAX I.D. N <br />U085B300102700 <br />TRACT <br />2821 104TH PL SE <br />CONTACT FOR PERMIT <br />Jennifer Burgess <br />noor+ess <br />3909 196 St SW, <br />HEATSOURCE <br />_ Eiectnc 1� Gas _ Other <br />L`[�] <br />/D —I-12 <br />PERMIT N <br />� � � r �� -vo� <br />Everelt 98208 425-33A-9197 <br />PHONE <br />206-774-9499 <br />dTY21P PHONE <br />�v�„Wooa yno3r, 800-398-4663 <br />CONTRACT PRICE OF WORK <br />$4324.00 <br />MECHANICAL <br />TYPE OF FIXTURE OR ITEM <br />AIC —air han0lina unrts <br />Forced av systems <br />Gas piping <br />Water heater <br />Gas hreplaCe <br />Gas range <br />Clotlies tlrye� <br />Rangehood <br />E�hau4tfan <br />Heatpimp <br />Unrt heater <br />fiotler <br />Rehigaiation <br />Woodstwe <br />CITV OF EVERETT LOCAL SALES TA% CODE IS ]105 <br />i hereby cent�fy that I have read antl e+aminetl this apphcahon antl hnow the sarie to b� true anC corral All prwisions of iaws and <br />ortlinaces govemmy �h�s type ol work v�nll be compliea r•�rth whether specrtied herem or rwt The granting of a permt does not prasume <br />tn grve authonty ir: �, u��ia�r nr cmcei the provision ol any other state a local law regulahng mnstruction or the pert.�rmance of <br />��onstructio�� 1 iiat i:,�� � a��moi�-eA bp the owner ot this property to perform the wvrk for whch apPlication is n�atle and 1 comply wtth the <br />��,tate Contractor��, I a,� t° :% PC W and 296 200 WAC <br />I�I II'.M! J li'r-.' 1�� in'i�H:y Mlii in'. <br />Jennifer Bur �55 1l1 n r rMXm4^� � Ifw���515111F411 ou.IfMllf.�1'1 <br />IIMYII �m�ll I�+•rJnar..u�wnn�. �mr111 <br />'.��n��i�ueoT wnerlConiracto Authon�acf efl � � ate <br />