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�+?—��a—'D7 1�� 3� FROM— T-47P, PN02/003 F-51� <br /> �--- � <br /> ; PERMIT ARPLICATION <br /> � CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAk STREET, EVERETT, WA 98201 <br /> 425-?57-8810 - FAX 425-257-8857 -www.everethva.org <br /> APPLICATIONS AR[ACCFPTED FROM B AM TO A PM <br /> SITE ADDRE33 PARCCL TA% 6D.N PERMIT M <br /> 3415 BEI.L AVE 00561900100GOU 11'�G 7� "G 3`��{ <br /> LEGALL LOTND. BLOCK TRACT <br /> DESC r ' __ <br /> oWNER ��f ADUKESS CITV�ZIP PHONE <br /> Holly Mackey 3415 DELL AV6, Everelt 98201 425 334-1675 _ <br /> iHNANT NeME CON7ACT FOR PERMIT PNONE <br /> i an�a Reinecke/Northwest Permit Inc 360-945-2787 <br /> GORfIi/1Ci0ii 1A/EVCO ADDRESS CIT172�P PHONE <br /> coNrn.uceNsex WASHIES971 OB 28C0 Thorndyke Ave W Seattle, �J8199 206-378-6649 <br /> �USE OF BUIIDING - -- -- -- _HFAT SOURCL CONTRACT PRICE OF WOHK <br /> Residential __r.������� X Gaa__Olhar $950.0� <br /> WORK DESCRIPTION <br /> R�place a gas to gas 40 gallon water f�eater <br /> PLUMf31NG MECHANICAL <br /> NO IYPE UF FI%TURE OR II[M N0. NPE OF FIX'NRG OR ITEM <br /> 7oilel � NC–au handliny unAs <br /> Ba1nWC Forced atr systems <br /> � Lavabry(wa6h b2&n) Gas pipinp <br /> Shower � Water heate� <br /> Kdchen sink d disposoi �ae(ireptace <br /> Pishwashar Gas rsnpe <br /> Ciotkes washer Clotnes dryer <br /> Laundry trny � Ran9a��ood <br /> Sink(servicelbar/mopieU.:� E»haus��an <br /> I -- DacMOnw preventer _ He21 pu'np <br /> --� Unn;J Unil hCOte! <br /> I = Drmkinp Founlain --- Boder <br /> Floor drrin Ra�ngeration <br /> Grease Irap Wood6lovo <br /> ^ Roof d�Bmc _ Uthe(_ <br /> Othe! — ' <br /> I .__ ^�'_ __ CITy OF EVEHETT LOCAL SALE5 TAX COUE IS 7105 _ <br /> II '�ereby terAdy Ihat I have read antl exammetl�liis epplicaUon entl know ths same lo be Irue end wrrect All pronaions of lawa end <br /> ordmeces povernind Ihm I�F� of worA wdl be f.omplied with whelher&peCifieA herpin or npt The g�an6ng ol a permil does not presume <br /> lo give aulhordy to aplatn or cancel Ihe provision ol any olhr.r slate or loc,al law refl�datinq ton5truclion or the pehormance ol <br /> consiruct�o��. That I am aulhon:ed by ihe owner vf U�is p�opetly to peifurm the wor for which nppLcalion is matl¢and I rqmpiy with lhg <br /> Stale trnclurs Law 10 7 �/and 290 200 WAC. <br /> I � � � 2� �"�" <br /> tiigna�ure olUwne on�r2cloi/Aulnon.ad gen� ale <br /> �I . _ . . _ ._ - -_ ____.-------- --'– — <br />