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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 — �wrw.everettwa.org <br />SITE ADDRESS <br />5014 DOGWOOD DR <br />LEGAL LOT NO. <br />DESC. <br />ANITA JOHANSEN <br />TENANTNAME <br />CONTRACTOR WESCO <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEI TAX I.D. # <br />00531700202002 <br />BLOCK TRACT <br />CONTR. LICENSE # WAS H I ES97 � OB <br />USE OF BUIIDING <br />Residential <br />5014 DOGWOOD DR <br />CONTACT FOR PER�11T <br />Jennifer <br />y—� 6 <br />PERMIT # <br />Everen 9e2o3 425-327-6177 <br />PHONE <br />206-774-9499 <br />ADDRESS ON21P PHONE <br />3909 196 St SW� Lynnwaod 98036 $00-398-4663 <br />HEATSOURCE <br />_ Electric � Gas _ Other <br />CONTKACI YKi�t��rvvrtn <br />17170.00 <br />WORK DESCRIPTION <br />Insta!! 60k gas furnace with 50' new gas piping, replace elec to gas 50 gal water heater with <br />10' gas piping and install 24k three zone mini split heat pump <br />NO. I TVPE OF FIXTURE OR ITEM <br />Toile[ <br />Balhtub <br />Lavatory (wash basin) <br />Shower <br />Kdchen sink & disposal <br />DisP,washer <br />Clothes washer <br />Laundry tray <br />Sink (service/barfmopletc.) <br />Backtlow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Greasetrap <br />Roof drains <br />Other _._ <br />NO. I TYPEOFFIXTUREORITEM <br />A/C — air handling units <br />i Forced air systems <br />2 Gas piping <br />, Water heater <br />Gas fireplace <br />Gas range <br />qothes dryer <br />Rangehood <br />Exhaust fan <br />Heat �ump <br />Unit haater <br />Boiier <br />Refrigeration <br />` Woodstwe <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby cerihfy lhat I have read and examined this application and know the same to be true and correct All prwisions of laws and <br />ordinaces governing this type of vrork wiil be mmplied with whethe� specified herein or noL The granting of a�ermit does no[ presume <br />to give authority to violate or cancel the provision of any other state or local law regulatinQ mnstruction or the pertormance of <br />construdion. That I am authorized by the owner ot this property to perform the work for whkh application is made and I comply with the <br />State Contractors Law 1827 RCW antl 286200 WAC. <br />uymlrn ,raer n-�iiau��Qeu <br />Jennifer Burqess .��. ..aw ,,o.��F,�,,E,r�;w,._a.��wr_,.,�„ <br />, ��.v'� ,. �,:i.,. ,'•��c, �;..��„��.���� ..�, <br />