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11-05-'08 12:37 FROM- <br />T-072 P003/003 F-747 <br />PERMIT APPLICATION l <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, 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 />SITE ADDRESS <br />PARCEL TAXI .D. q <br />PERMIT A <br />1328 73RD ST SE <br />00472300001300 <br />�/\0`rs II -(y,9 <br />LEGAL LOT NO. <br />BLOCK <br />TRACT <br />OESC <br />-- <br />OWNER ADDRESS CITYlZIP PHONE <br />ROCKNE ALBERTSON 1328 73RD ST SE EVERETT, 9e2os 425-438-3577 <br />TENANT NAME I CONTACT FOR PERMIT PHONE <br />360-945-2787 <br />INaida Khan <br />CONTRACTOR WESCO ADDRESS CITYRIp PHONE <br />2800 Thorndyke SEATTLE 206-378-6649 <br />CONTR. LICENSE a `^IASII�ES 17�OB <br />V J7l <br />USE OF BUILDING <br />HEATSOURCE <br />CONTRACT PRICE OF WORK <br />SFR I <br />_Electric V//Gas -_Other <br />750.00 <br />WORK DESCRIPTION <br />REPLACING A GAS TO GAS 40 GALLON WATER HEATER <br />PLUMBING <br />MECHANICAL <br />NO. TYPE- OF FIXTURE OR ITEM <br />NO. TYPE OF FIXTURE OR REM <br />Toilet <br />_ <br />A/C — airhandlingunits <br />_ <br />Bathtub <br />Forced air systems <br />_ <br />Lavatory (wash basin) <br />1 <br />Gas piping <br />Water heater <br />_ <br />Shower <br />Kitchen sink & disposal <br />_ <br />Gas fireplace <br />_ <br />Dishwasher <br />Gas range <br />Clothes dryer <br />Clothes washer <br />Laundry tray <br />Range hood <br />_ <br />Sinkservicelbarlmoplatc) <br />Exhaust fen <br />_ <br />Bac3ow preventer <br />_ <br />Heat pump <br />Unit heater <br />Urinal <br />Drinking Fountain <br />Better <br />Floor drain <br />_. <br />Refrigeration <br />_ <br />_ <br />Grease trap <br />Woodstoye <br />Othe' <br />Roof drains <br />Other <br />CIl l' OF EVERETT LOCAL SALES <br />TAX CODE la 0105 <br />I hereby cedllfy that I have read and examined this znr!!caWn and know the some to be true and correct. All provisions of laws and <br />whether specified herein or not. The granting of it permit does not presume <br />ordinates governing INS type of work will be complied with <br />to give authority to violate or cancel the provision of any other state or :,)cal law regulating construction or the performance of <br />construction. That I am authorized by the owner of thls property to perform the work for which application Is made and I comply with the <br />State Contractors L 18.27 RCW nd 296.200 WAC <br />gnsture o er on rec q onzed gen e <br />l <br />A <br />