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� I <br /> PERMIT APPLICATION <br /> � CITY OF EVERETT PERMIT SERVICES I <br /> 320D CEDAR STREET, EVERETT, WA 98201 <br /> i425-257-8810– FAX 425-257-8857–www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ISI7E ADDRESS PARCEL TAX I.D.N PERMI711 <br /> 2821 107TH PL SE 00852700000900 m u p - <br /> iLEGAL LOTNO. BLOCK TRACT i <br /> �ESC. <br /> OWNLR ADLQE38 pTYl21p pMONE <br /> JOE MEIS 2621 107TH PL SE [verott98209 425-379-5981 I <br /> i T[NpNT NAME CONTACT FOR PERMR PMONE i <br /> ' INafda Khan 360-945-2787 <br /> �, CONTRACTOR �AI�SCO ADDRESS CI?V/ZIp PNONE I <br /> �� 2800 Thomu ke SEATrL[ 20C-378-��49 <br /> coNra ucENse�wAS H I ES971 OB Y I <br /> � U8E OF BUILOINC M�AT SOURCE GONiRACT PRICE OF WORY, � <br /> SFR _eie«n� �[caL_otne, g276 72 I <br /> I WORK DEBCRIPTION � � <br /> Replace gas to gas 70k btu furnace; install 2 ton heat pump. <br /> I i PI.UMBINO GMANIC L — I <br /> IWO• 1YVE OF FIYTUR[OR ITEM NO. iYCE OF FI%TURE OR ITEM <br /> Tonet !vC–air hantltinp units I <br /> Ii, Bethtuh 1 Forcedair�yslema <br /> Lavetory(wash basm) Gas pipmp <br /> I = 3hower _ WOt¢r hesUr I <br /> Kilchan aink 8 tliaposal Goe fireplace <br /> _ Dishvmsner _ Gas ranqe I <br /> I = eiotnecwaonr.� �_ aotnetaryer <br /> caundry tray Ranpe�ood <br /> � .,�nk�serncclbanmop�atc) = Exhaust fan <br /> I i Oai9�Onw pmvontPr i I leat pump � <br /> Urinel , Uni(heBfEf <br /> D�irkmg Fountnin Boiler � <br /> _ FI001 tlni� Reingenbon i <br /> i = Greau!trnp Woodatove <br /> Rootmau�s _ pther <br /> Other__ <br /> I ` i I <br /> I CITY O►F.VERET7 LOI:AL SALEB TAJ[CODF.IS 7106 <br /> I hereby centify that 1 have read and examinr.d th�s appliwtlon and know N¢same W be true and wrred. All provlyiona of laws end I <br /> Iurdinete5 poverrunQ ihia ty0e of work wlll hr rnmpli?�with wh�thar spaeified herein or net.The �an6n o/• I <br /> t0 piV@ ecUiJ�fy f0 vi018�e Or Cdn[CI Ihr.prO�iSiO�Of en other state or Ip�l Inw 9 0 P����tloee nul y�eaume <br /> conatruciion. Tha1 I em autborized by the owner oi th�s property to peAortn the v.v9�u or'whi�ch epplawtionriehmade a del comply with the <br /> Stnte Contructors Lew 18,27 RCW an0 286.Y00 WAC. <br /> I ,iqna�e�onlractor7Aut ronzed ngent ��t� <br /> �. _— <br />