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t ` <br /> �' PERMIT APPLICATION <br /> � CITY OF EVERETT PERMIT SERVICES <br /> � 3200 CEDAR STREET, EVERETT, WA 98201 <br /> � 425-257-8810—FAX 425-257-8957—www.everettwa.ore I <br /> I /1PPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � �.(, � /D <br /> I SITE ADDRCSS PARCEL TAX I.O.� P[RMIT 1� _ <br /> I1430 W CASI�O RD #18Q OD865700808400 /r''C'i =`> <br /> I �@O� LO7 NQ BLOCK TRACT — <br /> DESC. <br /> IOWNER A DRESS GiY21V PHONE <br /> CINDY & DARBARA BUCK same as site a�idress ever 982oa 425-353-5978 I <br /> I TENANT NNAE <br /> CONTACT FOR PERMIT PIIONE <br /> Naida Khan/Cyndal Millhollin_360-945-2787 <br /> IcoNrnncror+ WESCO noo�:Ess cmrtiv P110NE <br /> 7_80U Thorndyke SEATTLE 800-39�-4GG3 <br /> I ooNrre.u��Nser WASHIES97106 -- <br /> ' USE OF BWLOIN6 HFAT SOUR�E I CONTRACT PRICE OF WORK I <br /> Iresidential eiea�+� �c�as_omer $4398.00 <br /> IWORK DESCRIPTION <br /> IREPL/\CE GAS 60K [3TU FURNAC[ <br /> IPLUMBING MECHA ICAL <br /> N0. TVPE OF(IxiUPE OR IT[M N0. TYPF OF FI%TURE OR ITEM _ <br /> I � ToilCt � NG–eirhandlingunits <br /> BathWL + Foroed air eysteme <br /> I = LBvdloiy(weali basln) —� GaS p�p�nQ <br /> Shuv.er ! Weter heate� <br /> � hitchen sink d tlisposal J Gas Oreplecc <br /> � Dishweeher � OBP rer�ge <br /> C!olhes washer _ C�olhee tlryer <br /> Laundry��ay Range hood <br /> �� Smk(s?rvic./hndmnp�cic.) ` ExhJust fan <br /> I ! BackOowpreventer ! Hretpump <br /> llnnal J UnAheater <br /> �rinkmp FouMnin ^ 6oilef <br /> I ! f-loo�drain _� ReMgcratlon <br /> G�ease trap Woodstove <br /> Rvol drains _ Other <br /> I � Othcr _ <br /> IGIT`�OF EVEREiT LOCAL SALES 1AX COUE IS J106 <br /> Ii ne�eby ce����ry�ha� I have reotl and ezam�ned thie epplication and know the samo to be Vue and roned. AU provislonc ollaws and <br /> orainaces goveminp this type oiwerk will be complietl with whelher specified herein 0�not T�e grammg of a pe�mrt tices net p�e,wnc <br /> to prve authonty to violate or canrnl the prowswn of any other slate or local law regulatinp wnstruttion or lhe peAortnance of <br /> Ir.onstrudlon Thet I am autnorizetl by the owner o�this p�npeny to perlorm the work Por wnich app���ai�on is made and I comply wlth the <br /> State Contreqors Low 18,2'�RCW�tl 296.200 WAC <br /> ( � , ("S,( c� <br /> IS�ynalut¢u wner ontracl � »nOfiZCtl gtlnt Dete <br />