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l <br /> PERMIT APPLICATION 3 �ri� <br /> rITY OF EVERETT PERMIT SERVICES ���^� <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810-FAX 425-257-8857-wvnv.evereriwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PAF:.EL TAX I.D.M PERMIT# <br /> 1717 En land Ave 00549401001500 I����_ � <br /> LEGAL LOTNO. dLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITYIUP PNONE <br /> Donald Linde 1717 England Ave Everett 98203 425-348-5102 <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> IMelissa Croda 360-945-2787 <br /> CONTRACTORIA/ESCO ADDRESS CRY21P PHONE <br /> ��� 2800 Thorndyke SEATTLE 206-378-6649 <br /> CONTR.LICENSE N WASHI ES971 OB <br /> USE OF BUILDING I — NEAT SOURCE CON'fRACT PRICE OF WORK <br /> SFR eie�o-;� ✓ ce5 ome� I 950,00 <br /> WORK DESCRIPTION <br /> Replace Gas to gas 50 gallon water heater <br /> � <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FI%TURE OR ITEM NO. TYPE OF FIXTURE OR tTEM <br /> _ Toilet AIC—airhandlingunits <br /> _ Bathtub Forced air systems <br /> _ Lavalory(wash basin) Gas piping <br /> __ Shower i Waterheatar <br /> _ Kitchen sink&disposal Gas firepiace <br /> _ Dishwashor Gasranga <br /> _ Clothes washer Clothos dryer <br /> _ Laundry tray Range hood <br /> _ Sink(service/bar/mop/efc.) Exhaust fan <br /> _ Backflow preventor Heat pump <br /> _ Urinal Unit heater <br /> _ Dnnking Fountain Boiler <br /> _ Floordrain Rafrigeration <br /> Gmase trap Woodstove <br /> _ Roof drains Other <br /> Other —' <br /> CITY OF EVERETT LOCAL SALES TAX COOE IS 3105 <br /> I horeby caritify Ihal I have read and examined this applir.ation and know tho samo lo be true and correct. All D'ovisions o(laws and <br /> ordinaces governing this type of work wiii ba comp�iod with whelher specified herein or not. The granting of:+permit does not presumo <br /> to give authonly to violalo or cancel the provision of any othor slate or loca�law regulatin�construction or tho podormance of <br /> consW ction.That I am aull�orized by the owner�f this property to perform the work for which application is made and !comply with lhe <br /> Slalo Contrectors Law 1827 RCW and 296.200 WAC. <br /> T ��rd,i'� /%f6� <br /> Signalure of OwnoqContrectod ut onzed Agent ��e <br />