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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257•8857 - www.everettwa.org <br />APPLICAT�ONS ARE ACCEPTED FROM 8 AM TO 4 PM ��" � a� I <br />SITE ADDRESS PARCEL TAX I,D. p PERMIT q <br />5725 BEVERLY LN 004�1700oo45ot <br />LEGAL LOT�O. BLOCK TRACT <br />DFSC. <br />OWNER ADDRESS CIfY/ZIP PHONE <br />M,ANUEL & CHERYL PRIETO 5725 BEVERLY LN Everelt98203 425-478-3732 <br />TENANTNAME <br />CUNTRACTOR 1�/EJCO <br />„� <br />CONTR. LICEN9E M� AIASH I ES.97 � OB <br />VV <br />USE QF BUILOING � <br />SFR <br />WORK OESCRIPT�ON <br />CONTACT FOR PERMIT <br />Naida Khan <br />ADORESS <br />2800 Thorndyke <br />HEATSOURCE <br />,_ Electric � Gas _ Olhor <br />REPLACE 60K GAS FU%2NACE, INSTALL 2.5 TON A/C <br />N0. I TYPE OF FIXTURE OR ITEM <br />Toilol <br />Balhtub <br />Lovatory (wash basin) <br />Showor <br />Kilchun sink 8 disposal <br />_ _ o�srn�:,�r�r <br />� Clothas washnr <br />- Laundp�lrey <br />- Sink (c�rvieo/badmop/etc.) <br />BackOow prevcnlor <br />Vrinal <br />� Drinkinp Faunlain <br />Floor drain <br />Groaso Irup <br />��� Roo(drains <br />Other___ __ __ __ <br />� <br />PNONE <br />360-945-2787 <br />CIiY21P PHONE <br />SEATTLE 800-398-4663 <br />CONTRACT PRICE OF WORK <br />$8611.00 <br />NO, � TYPE OF FI%TURE OR ITEM <br />� A/C—airnandlingunits <br />� Forcedoirsystems <br />Gas piping <br />Waler heatcr <br />Gas firopiace <br />Gas ranye <br />Clothoa dryor <br />Ranpo hood <br />Exhausl fan <br />Neat pump <br />Unil hoalcr <br />Boilef <br />RefrigeraGon <br />YJoods�ove <br />--^ Other <br />CITY OF EVERETT LOCAL SALES TA7f COOE 191f05 <br />I horoby corilify that I have read and oKamined this applicalion and know Ihn samo to bo tme and correcl. All provisions of laws and <br />ordinacos 9overning this type oi work will be compliod with whe�her speciliod hnroin or nol. The granting of a pormit does not presume <br />to �ivo authonly to violale or c�ncol tha provision af any other slate or local law regulaling conslruclion or the parformanco of <br />construclian. That f am authanzod by Ihe ownor of this proD�rty lo pedorm tho work (or which opplication is mndo end I comply with the <br />Sla�e CoNrar.lars Law 1827 RCW and 296200 WAC. <br />c ����1� %i�� <br />L-- <br />