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( ` <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 320G CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857—www.everetlwa.org <br /> APPLiCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ��/aei /�� <br /> SITE ADDRE55 PARCEL TAX I.D.N PERMIT N <br /> 1430 W CASINO RD �t74 00865700707400 M I I I I - O(D <br /> LEG4l LOTNO. BIOCK TRACT <br /> DESC. <br /> OWNER ADDRESS QTVlZI� PHONE <br /> BARBARA THRALL s.a.me as sile address 98204 360-387-1380 <br /> TENANT NAME CONTACT FOR PERM17 PHONE <br /> Cyndal/Naida 360-945-2787 <br /> CONTRACTOR \A/ESCO AODRESS dTV21P PHONE <br /> �� 2800 Thorndyke SEAlTLE 800-398-4663 <br /> CONTR.LICENSE H WAS H I ES97�O B <br /> USE OF BUILDING HEAT SOURC:E CONTRACT PRICE OF WORK <br /> residential _e�e«��� �Gas_Other 2157.00 <br /> WORK DESCRIPTION <br /> REPLACE GAS 60K BTU FURNACE <br /> PLUMBINO MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C-alr handling uNts <br /> BathWb � Forcetl alr systems <br /> _ Lavatory(wash basin) _ Gas piping <br /> Shovrer Water healer <br /> Kltchen sink 8 dl;posal _ Gas lireplace <br /> Dishwasher Gas range <br /> Cbthes washer Clolhes dryer <br /> Laundry tray _ Range hwd <br /> Sink(servica/baUmop�etc) _ Exhaustfan <br /> Bachflow preventer _ Heal pump <br /> Unnal Untt heater <br /> Drinkln3 Fountaln _ Boiler <br /> Floor drain Refrigarelion <br /> Grease trap _ Woodstwe <br /> Roof tlraln5 Othef_ <br /> Other <br /> dTY OF EVERETT LOCAL SALES TAX CODE IS 7105 <br /> I hereby certtity that I have reatl and ezamined this application and hnow tha same to be true and correct. All prwislons ot lawa and <br /> ordmaces goveming lhls type of work vnll be complieA with whether specihed hereln or not The granting oi a permit Ooes not presume <br /> to give authority to violate or cancel the provlsion of any other state a local law regulaling mnstruction or lhe pertormance of <br /> construdion. That I am authon�ed by the owner of thie property to perform the Nork for whkh applicatlon Is made antl I mmply wtth the <br /> State Contractors Law i8 27 RCW and 296200 WAC. <br /> - - 11/28/11 <br /> STnature o ner/ ontractor ulhorize gent ate <br />