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08-20-'09 14:23 FROM-nw permit 13609452091 T-655 P002/003 F-629 <br />PERMIT APPLICATION <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 S AM TO 4 PM <br />SITE ADDRESS <br />PARCEL TAX I D. IT <br />PERMIT 4 <br />927 93RD ST SW <br />00534000001100 <br />M 6 <br />LEGAL LOT NO. <br />BLOCK <br />TRACT <br />DESC <br />WNER ADURE S CITY/zIP PHONE <br />CHRIS GEMPP 927 93RD ST SW Everett98201 206 321-2997 <br />TENANT NAME CONTACT FOR PERMIT PHONE <br />_ INaida Khan/Cyndal Millhollin 360-945-2787 <br />CONTRACTOR WESCO ADDRESS ci yizIP PHONE <br />2800 Thorndyko SEATTLE 800-398-4663 <br />CONTR. LICENSE WASHIES971013 <br />USE Or DUILDIN0 <br />HFAT SOURCE <br />CONTRACT PRICE OF WORK <br />RESIDENTIAL <br />TElectric _Other <br />WORK OESCRIPT ION <br />pp <br />t! <br />!-f fi8l� kA <br />e�t <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />N0. TYPE OF FIXTURE OR ITEM <br />Toilet <br />NC - air handling unite <br />Bathtub <br />Forced air systems <br />Lavatory (wash basin) <br />Gas piping <br />Shower <br />I— <br />Water heater <br />Kitchen sink 6 disposal <br />_ <br />Gas fireplace <br />_ <br />Dishwasher <br />Gas range <br />Clothes washer <br />_ <br />_ <br />Clothes dryer <br />_ <br />Laundry tray <br />Range hood <br />Sink (service/bar/mop/etc) <br />FXhausl fan <br />_ <br />Racknow preventer <br />Heal pump <br />_ <br />urinal <br />Unit heater <br />_ <br />Drinking Fountain <br />_ <br />Boiler <br />Floor drain <br />__ <br />Refrigeration <br />_r <br />Greaee trap <br />Woodslove <br />'T <br />Roof drams <br />Other <br />Other <br />- <br />CITY OF EVERETT LOCAL SALES TAX CODE la 3106 <br />1 hereby cerlufy that I have feed and examined this application and know the some 10 be twee and correct Al provisions of laws and <br />ordinaceo governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume <br />to give authority to violate or cancel the provision of any other state or Idol law regulating construction or the performance of <br />conslrudlnn T am authorized by the owner of this property to perform the work for which application is made and I comply with the <br />State Co t Ls �,27 RCW and 296 200 WAC <br />4� <br />c/2o1ag <br />I erg e <br />