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31TE �DDRESS <br />3312 Fed ral Ave E <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVIC�S <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.evereriwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM X� J O� — <br />PARCfiL TAX I.D. N <br />00437578402500 <br />LOT 0. BLOCK 7RAC7 <br />2s, 26 2� 784 Everett Division H <br />Lucinda C <br />TENIWT NAME <br />COMRACTOR <br />CONTR. LICENSEIr WASHIES971 OB <br />USE OF f <br />SFR <br />3312 Federal Ave E <br />CON7ACT FOR PERMIT <br />Melissa Croda <br />ADDRESS <br />2800 Thorndyke <br />FIEAT SOURCE <br />Eledric ✓ Gas _ Other <br />E���WA9�� 425-259-1234 <br />PHONE <br />360-945-2787 <br />CITVfLIP PHON6 <br />SEATTLE 206-378-6649 <br />CONTRACT PR10E OF WORK <br />10456.00 <br />WORK DESCRII�TION <br />Replace 20�k Burnham Boiler, Backflow preventer and gas piping to 2 fireplaces <br />NO. <br />Toilot <br />_ 8alhtuD <br />Lavatory <br />Shower <br />Kitchen t <br />Dishwasl <br />Clothee r <br />� Laundry <br />Sink (ser <br />+ Back(Iow <br />Urinal <br />Drinking <br />Floor dra <br />Grease 6 <br />Roof drai <br />Olher <br />TYPE OF FIXfURE OR ITEM <br />basin) <br />& disposai <br />NO. I TYPE Of fIXTURE OR REM <br />A/C —air handling unils <br />Forad air systems <br />Gas piping <br />Wator heatar <br />Gas Nreplace <br />Gas nnge <br />Clothce drycr <br />Range hood <br />Exhaust fan <br />Hcot pump <br />Unit heater <br />Boiler <br />Re(rigaretion <br />Woodslove <br />Other <br />CITY Of EVERETT LOCAL SALES TAX CO�E IS 3105 <br />I herehy rr..rifify t al I have read and examined this applieaUun and know the same to be trve and cerrect. All provisions of laws and <br />ordinaces gove ng this type of work will be complled with whether specifiad herein or not. 7he grantlng of a pertnit tloes not presume <br />to give authority vblate or cel the provision of any other stale or local 18w regulating COnatruction or the perfortnancs of <br />�siruction. Th I am au rizedY���wnBr of thit properly to parfortn tha work tor which opplieation is modc nnd I eomply with qip <br />tate C�iirac2o Law 18 7 RC 20o WAC. _/ i <br />