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SITE ADDRESS <br />5404 Fairview Ave <br />LEGAL LOTNO. <br />oesc. LOT 23 <br />Matt Pulley <br />TENANTNAME <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everethva.org <br />APPLICATIONS ARE ACCEPTED FROM 6 AM TO 4 PM <br />BLOCK <br />BLK 000 D-00 - <br />CONTRACTOR 1AIESCO <br />V11 <br />corrre. uceNse r WASHIES971 OB <br />USE OF BUILDING <br />SFR <br />WORK UESCRIPTION <br />PARCEL TN( I.D. p <br />00443200002300 <br />TRACT <br />AIRVIEW HEIuHTS DIV <br />5404 Fairview Ave <br />CONTACTFORPERMIT <br />Melissa Croda <br />ADDRESS <br />2800 Thorndyke <br />HEATSOURCE <br />_ Electric � Gas _ Other <br />Replace gas to gas 50 gallon 40,000 btu water heater <br />NO, I TYpE OF FIXTURE OR ITEM <br />iouet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />n:^hen sink & A!;posal <br />Dishwasher <br />Clothes washer <br />Laundry trey <br />Sink (service/bar/mop/etc.) <br />Backflow preventer <br />Urinal <br />Drinking Founlain <br />F�oor drain <br />Grease trep <br />Roof dreins <br />Other <br />PERMIT # <br />11 u�n <br />Everett 98203 425-710-0453 <br />360-945-2787 <br />CRY/ZIP PHONE <br />SEATTLE 206-378-6649 <br />CONTRACT PRICE OF WORK <br />C 1 11 <br />NO. I TYpE OF FUCTURE OR REM <br />A/C — air handling uniLs <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Ranga hood <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Boiler <br />Re6igeration <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify that I have raad and examined this application and know the sama to be true and cortect. All provisions of laws and <br />ordinaces governing this type of work will be complied with whether specified herein or m ,'he granting oi a permit does not presume <br />to give authonty to violate or cancel the provision of any other state or local law regulating constmction or the performance oi <br />consUuction. That I am authorizod by lhe ownsr of this properry to perform lhe work for which application is made and I wmply with the <br />State Contracto�s Law 18.27 RCW and 296.200 WAC. <br />