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'o C Page n o' `� ;C 5-t0-2A 1', tC n5 (C;I.At� '998400O3?3 V-ru^., Dcboiuh Sh eids <br /> . . . _' . --_� ..__ —_� - <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 C[DAR STREFT EVERFTT WA 98201 <br /> 425 257-8810 - FAX 425-257-885' - www everettw� oig <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM T04 PM /O��� �-�S <br /> - SITE ADDRESS PARCEL TA% I.D. # I PFRMIT p <br /> 1430 W CASINO RD #61 Uoass�oocos�oo N/(I�(Q- p�7 <br /> ifGnll LOTNO 6LOCN 7RnCT <br /> Ck 57 f <br /> i <br /> OWNEH AOORE55 CIIY121P VMONE <br /> CHERYL GEHLHAUSEN �430 W CASINO RD u61 Everett 4252328329 <br /> IENANT NAME � CONTACT fOR PERMIT PHONE <br /> INaida Khan 360-945-2787 ; <br /> CONTRACTOP W�S�llflOI/111 Ef1Pfly SVf.S C7. I I (� anDRE55 f.ITY21P PNONF — I <br /> 3909 196th Sl SW Lynnwood 800-398-4663 <br /> CO�ITR LICENSE e WASHIES851 NS <br /> USE OF BUILDtNG HEAT SOURCE I CONTRACT PRICE OF WORH �I <br /> SFR _EiNct,�� � �;;,t _ o;re� 1316.93 <br /> WORK DESCRIPTION <br /> i <br /> REPLACE G�S 1Nl1TER HEATER. <br /> PLUMBING MECHANICAL i <br /> NO i 1YPE OF FIRTURF OH ITEId NU TVVE OF Fl%TURE OR ITE�d � <br /> _ _ ' _ . ' _'____ _ _ _ ' ___'_ . <br /> To�lot !�C -a' hantlu�-.p unils <br /> _ _ BJIh�Ub _ fG'cBtl lrt SySIfmS � <br /> -- l avatory�svash ha�rn - Gas pip�ng I <br /> �IIONPf 14��fCf hPafC� <br /> __ Kdchnn sinh 8 �1�5����a: Gas P:eplace <br /> _ O�shwash.�� (;a;ranqc I <br /> __ Ciothes washr� � Ciothes drycr <br /> Launtlry tray _ It,tn9e hpod <br /> Sink �scrv�cn�L,rt�n, �;.��t� ': [rhausl fan <br /> -. liucpliow pieventr�� � Nea;Pu�np <br /> _ Unnal — Und he.11er i <br /> Dnnl.�ny F�..unL�n � poiler <br /> f�ioor ara�n _ Refnge�abnn <br /> = Grc,itr bap — Wnnd5love -- - i <br /> � Rnoi drains nlhei <br /> Olhci <br /> _ _ _.._. __. _- _- . — . j <br /> -' _ _ __ . ..__.___ - _._.'_ _ __ - _ I <br /> CITV O! CVERETT LOCAL SALES TA%CODE IS NOS <br /> i heie0y cenhfy Ihal I have�ead and e*amn,ed Ih�s aVP���ahun ana knuw Ihe same lo be Irue and ronrct Atl prows�ons of laws a�d I <br /> ordmaces govern�ng Rns rypo 01 wort w�n be comp6c4 wrtn wheti�er s�eufiea herein or nol ihe grnnhng ol a Fernnt does no�nrosume <br /> to q�ve authonry to v�oiate o�cancel ihe provreion of any other;Wte er bcal iaw�eguiating constr,ittron or the De�formance ol i <br /> construcl�on T'��at I am auVior�:.ed by Ihe oa��er of Ih�s proc�crty to per�o��n O�e wo•M lor wh�ch apphcal�on �s made and I comply wil�Ux• <br /> Stalg �,�p� � .,,.7�+ , '�p��5�,4G200WAC <br /> r,�.:.__, . �'�;,7'�� D�yira:ly tignrd hy lrvind�r i uvollo i <br /> � r��� /{lf. � . . GN.[n-Jennile� Cuvello,o,u�, <br /> y.i"' ,� 1�`._'�y.LP.l�..��,.,� 1F')crAmd -�ennlire�nwp��nli�INnic'VS I <br /> , .. . " ' . � . . _.. llf� Ildb� :�ll(. 107NIIfl 1'I ;N D�•nU <br /> . ._' . _- '_ . .______.—_._- _ .._. I <br />