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PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 320G CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857-vwvw.everetlwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM /� �3 �/Z <br /> SiTE ADDRESS PARCEL TA% I.D.It PERMIT It <br /> 2928 107TH ST SE oosse3oo2oiaoo � UI U�a <br /> LEGAL LOT NO. BIOCK TRACT <br /> D[SC <br /> OWNER ADDRE55 qTV21P PMONE <br /> JULIE REIMAN sarne as site address 98208 425-33G-1393 <br /> TENANT NAME � CONtACT FOR PERMIT PHO'�[ <br /> �Cyndal/Naida 36�J-945-2787 <br /> CONTRACTOR \A/ESCO ADDRESS dTV21P P40NF. <br /> �� .1 2800 Thorndyke SEATTLE 800-398-4663 <br /> CONTR. LICENSEN WASHIES9! I OE3 <br /> USE OF BUILDING HEAT SOURf,E CONTRACT PRICE OF WORK <br /> residential _e�e�,��� � Gas_Other 2129.60 <br /> WORK PESCRIPTION <br /> RFPLACF GAS 50 GALLOIJ HOT WATFR HE/1TER <br /> - __- - ----- <br /> PLUMBING MECHANICAL <br /> NO. TVPEOF FIxTURE OR ITEM NO. NPE OF FIXTUREORITEM <br /> Toilet AIC —air handling units <br /> Bathtub Forcetl air systems <br /> Wvatory (erash basin) Gas piping <br /> Shower i Water heater <br /> Krtchen sink 8 disposal Gas lireplace <br /> Dishwasher Gasrange <br /> Clothes wa5her C101heS d�yer <br /> _ Laundry Iray Range hood <br /> _ Sink(service/bar/mop/etc) Erhaust lan <br /> Backllow preventer Heat pump <br /> Urmal Umt heater <br /> Dnnhing Fountav� Botler <br /> Floor diam Refrigeration <br /> Grease trap Woodstwe <br /> Roof drams Other <br /> Other <br /> CITV OF EVERETT LOCAL SA'.ES TA%CODE IS 3105 <br /> i here6y cernity that I have read and e.amined�I�is application and hnowthe samr to be Uue and correct All prwislons of laws and <br /> o�Ainaces govermng this type of worh vnll be compl�ed Hnth wnether speahed herem or not The granting oi a permlt tloes not presume <br /> tn 9�ve authonry to wolate or cancel the provision of any other state or local law regulatuig oonstrucUon ci the peAormance of <br /> ronsiruRion That I am authorced L•y Ihe owner of this property to perfo�m the work for whch appliwUon is made autl I comply with the <br /> '.-.tnte Contractors Law 1H 27 RC W antl 29E 200 1,NAC <br /> , --- - 1/12/12 <br /> :.u]nature o wnerl:ontractor uthon�ed gent ate <br /> __ _ -- - - _-- --- - J <br />