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� <br /> PERMIT APPLICATION l � <br /> CITY OF EVERETT P�RMIT SERVIC�S ��� <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810—FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.O.# PERMIT# <br /> 4809 Glenhaven Drive o0456700004800 <br /> LEGAL LOT NO. BLOCK TRAC7 �Q,� � ���� <br /> oesc. LOT 48 BLK o0o D-oo GLENHAVEN �LAT <br /> OWNER ADDRESS CITY/ZIP PHONE <br /> Debra Maier 4809 G'enhaven Drive Everett 98203 206-290-7884 <br /> TENANT NAME CONTACI'FOR PERMIT PHONE <br /> IMelissa Croda 360-945-2787 <br /> CONTRACTOR �A/ESCO ADDRESS CITY2IP PHONE <br /> CONTR.LICENSEM 2800 Thorndyke SEATTLE 206-378-6649 <br /> WASHIES971 OB <br /> USE OF BUILDING I — HEAT SOURCE CONTRACT PRICE OF WORK <br /> �FR Eledric �Gas Other I 14 887 00 <br /> WORK DESCRIPTION <br /> Replace 80 BTU Gas Furnace, Gas Fireplace Insert, 10'gas pipin� to Water heater, 40'to Furnace, <br /> 50'to Fireplace Inserl, 50 gallon gas water heater, 1'addition to e>,isting hot and cold water lines. <br /> PLUMBING MECHANICAL <br /> M�• TYPE OF FIXTURE OR ITEM NO. TypE OF FIXTURE OR I7EM <br /> _ Toilet A/C—air handling units <br /> _ BatMub _ Forced air systems <br /> _ Lavatory(wash basin) a Gas piping <br /> _ Shower i Water healer <br /> _ Kitchen sink 8 disposal i Gas fireplace <br /> _ Dishwasher Gas range <br /> _ Cbthes washer _ Clothes dryer <br /> _ Laundry tray Range hood <br /> _ Sink(service/ber/mop/etc) �haust fan <br /> _ Backflow preventer Heal pump <br /> _ Urinal Unit heater <br /> Drinking Fountain Boiier <br /> _ Floordrain _ Refrigeration <br /> _ Grease trap Wootlslove <br /> Roof drains Other <br /> 1 O�hOf Addition to oxisting hot 8 Cold walar Llnus — <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS J106 <br /> I hereby centify thai I have read and examined this application and know the s�me to be true and correct, All provisic ns of laws and <br /> ordinaces governing this type of work will be complied with whether specified herein or nol.The granting of a permit does not presume <br /> to give authorily to violate or cancel the provision of any other state or local law re3ulating construction or the performance ot <br /> construction. That I am authorized by the owner of this property lo perform the work for which application is made and I comply with the <br /> St te Contr ors Law 1827 RC 296.200 WAC. <br /> � �aa <br /> Si ure of wnerl or u� orized Agent Da <br />