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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 — �nnvw•everetlwa.org <br />SITE ADDRESS <br />3301 FEDERAL AVE <br />LEGAL LOT NO. � <br />DESC <br />DAVID BLOUNT <br />TENANTNAME <br />CONTRACTOR �AlESCO <br />�� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM y� a-► 3 <br />PARCEL TAX I.D. # <br />I 00437578500100 <br />BLOCK TRACT <br />CONTR. LICENSE # WASH I ES9% � OB <br />USE OF BUILDING <br />Residential <br />WORK DESCRIPTION <br />3301 FEDERAL AVE <br />ICONTACT FOR PERMIT <br />Jennifer Burgess <br />ADDRESS <br />3909 196 St SW, <br />HEAT SOURCE <br />_ Electric � Gas_ Other <br />REPLACE 30 GALLON GAS WATER HEATER <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />BathtUb <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 dlsposal <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sink (serviceibar/mopletc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Greasetrap <br />Roof drains <br />Other <br />PERMIT # <br />—� <br />Everett 98201 425-303-1296 <br />PHONE <br />206-774-9499 <br />p7y2�p PHONE <br />Lyn,iwood 98036 800-398-4663 <br />CONTRACT PKIct ur w�+rtn <br />$750 <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air hantlling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heat Fump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstwe <br />Other <br />CIN OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritity that I have read and examined th�s application and know [he same to be true and correct. All prrnisions of laws and <br />ordinaces governing this type of work will be complied with whether specitied herein or not. The granting of a permit does not presume <br />to give authority� to violate or cancel the provision of any other state or local law regulatine� mnstruction or the performance of <br />construdion. That I am authorized by the owner of Ihis property to pertorm the vrork for which application is made and I compry with the <br />State Contractors Law 1827 RCW antl 296200 WAC. <br />Cipi Wry 99nr� bl mnnln tlwgm <br />IPnnifer Buraess ������"^"'�`�"niln�pmTm�l<�m,c`US't�-������'LST <br />