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r <br /> . ; <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-5810— FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM '1 "a�G�-�� <br /> SITE ADDRESS PARCEL TAX I.D.# pERM1T# <br /> 603 BRENTWOOD PL o039460000�70� /�VI II ��' a� <br /> LEGAL LOT NO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS qTY21P PHONE <br /> LARRY GREENLEAF SAME AS SITE ADDRESSS Everelt 98203 425-252-5471 <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> Naida Kha;� 360-945-2787 <br /> CONTRACTOR �AfESCO ADDRE55 qTY21P PHONE <br /> CONTR.LICENSE k 2800 Thorndyke SEATTLE 800-398-4663 <br /> WASHIES971 OB <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORN <br /> SFR _e�ectric �cas_omer I $950 <br /> WORK DESCRIPTION <br /> REPLACE GAS WATER HEATER. <br /> PLUMBING 111ECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> _ Toi�et A!C—alrhantlling units <br /> _ 6athtub Forced air systems <br /> _ Lavatory(wash basin) Gas piping <br /> _ Shower � Water heatet <br /> _ Kitchen slnk 8 disposal Gas firepface <br /> _ Dishwasher Gas range <br /> _ Clothes washer Cbthes dryer <br /> _ Laundry tray Range hood <br /> _ Sink(service/badmopletc.) Exhaustfan <br /> _ Backtlow preventer Heat pump <br /> Urinal Unft heater <br /> Drinking Fountain Boiler <br /> Floor drain Refrigeration <br /> Grease trap Woodstwe <br /> Roof dralns Other <br /> Other <br /> CITY OF EVEREIT LOCAL SALES TNC CODE IS 3105 <br /> I hereby ceritity that I have read and examined this application and knowthe same to be true and correcL All prwisions of laws and <br /> ordinaces goveming thistype of work wtll be mmplied v^th whether specifietl hetein or not.The granting of a permit doe�not presume <br /> to glve authority to violate or cancel the provision of any other state or local law regulating construction or the peRormanre of <br /> construction. That I am auihori�etl by the owner of this property to perform the�wrk for whkh application Is made antl I mmply with the <br /> State Contractors Law 1827 RCW and 296.200 WAC. <br /> i>+==. 4/22/11 <br /> Signature ot Owne�lContractor/Authotlzetl gent ate <br />