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12-1�9-' l19 1�: 52 FROM-nw permit 136Q9952091 T-956 P�02/OA3 F-032 <br /> � <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET. EVERETT, WA 5820� <br /> 425-257-8810- FAX 425-257-8857 -www evErettwa or9 <br /> APPLICATIONS ARE ACCEPT[D FROM e AM T04 PM �a ,.,y '-O�] � <br /> 1— <br /> SITE ADDRESS PARCEL TAX I.D.q PERMIT M <br /> 143U W CASINO RD i181 ooa6��noeo8�o0 � C I,,�,�r, <br /> LEGAL LOT NO- ALOCK !RACT <br /> nr-sc <br /> OWNER �— AGDRESS CINIZIP PHON[ <br /> HERMAN & FRANCES P[RKINS 1430 W CASINO RD #81 ever 98204 425-314-3085 <br /> TENANT NAME VONTACT FOR PERMIT PHONE <br /> Naida Khan/Cyndal Millhollin 360-945-2787 <br /> CONiMCTOR �A�ESCO ���RERB CITV/21P Vk10NE <br /> Vv 2p00 'i horndyke SEATTLE 500-398-a663 <br /> coNrR ���eHSEr W�SHIES971OB <br /> USE O��UILDINO HEAT SOURCG � CONTRACT PRIC6 GF WORK <br /> residential __�_�E�ea��� �Gas_Othcr 4148.00 <br /> WORK DESCRIPTION <br /> REPLnC[ GAS fi0K Bl U FURNAC[ <br /> PLUMBINO MECHANICAL <br /> NO. TYPF OF FIXIURE OR ITEM N0. TY('E�F FI%TURE OR ITEM <br /> Toilet AIC-air handling uniU <br /> � Bnlhlub + Forced a�r sy5tems <br /> Leva�ory(wasli basin) _ Gas piping <br /> Shower Weter hea1M <br /> Nitchen sink&disposal _ Gas fireplace <br /> � pis��washr,r _ Gas range <br /> Clalhos washer Clolhes tlryer <br /> � �aundry trny RenAe hood <br /> Sink(servicelUadmop/eic) _ Ex�ausl fan <br /> Dackllow prevenler _ Heel pump <br /> Urinal Unit heater <br /> � Drink�ng Founlain _ �oder <br /> Floor drain Rohiye�aUon <br /> ^ Grease vap Woodstove i <br /> I _ Roolara�ns -- = Other <br /> Other <br /> � -- <br /> CITV Of EVER@TT LOCAL SAlES T1U CODF I$N06 <br /> I hereby ce�d�ty V,et I hnve read 2nA examined In�s a�phcal�on nntl know ihe same to Ca true end correct WI pro��s�ons of laws and <br /> 0�4inaCEs gOvefillfl�J l�i9lYpE 0�'A'ork will bC CO�Tlplled W11h whether 6pCcdied hef2111 of It01 ThE q�enlilK]018 pOrOtil dD@S�ol pr�5ume <br /> to yiva aulnunty to v�olale or Canri!I the prov�s�on of ony othm stata or�owi iaw regulai�ng construction or the perlormance of <br /> r.onstrutlion That I am au�houzed by Ihe owner ol lh�s pwperty to perterm Ihe wnrk lor wnich appl�Wuon�;matle and I wmply w�ln the <br /> Sta�e Contractors Lnw 18 27 RCW and 28620D WAC <br /> �� ��'i�G:�v� i �-� �-1� (9�1 <br /> S�ynature c owna�/ oi Jacton uUwrizea ont ate <br />