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i� <br /> i � - <br /> PERMIT APPI_iCATION <br /> CITY OF EVERETT PERMIT SE�VICES <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 ,5 —J �Z <br /> SITE ADDRESS PARCEL TAX I.D.N PERMIT* <br /> 2402 EVERETT AVE o0437863300100 � �O rj- O� <br /> LEGAL LOT NO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITV2IP PHONE <br /> CHRIS 8� DENISE CANONICA same as site address 98201 425-327-8740 <br /> TENANT NAME CONTACT FOR PERMIT PNONE <br /> ICyndal/Naida 360-945-2787 <br /> CONTRACTOR \A/ESCO �DRESS C17Y21P PHONE <br /> �� 2800 Thorndyke SEATTLE 800-398-4663 <br /> °o"rr�.u�E"SE"WASHIES971 OB <br /> USE OF BUILDING HEAT SOURCE CONTRACT PR�CE OF WORK <br /> residential I _Electric �Gas_Other 3473.00 <br /> WORK DESCRIPTION <br /> REPLACE GAS 80K BTU FURNACE <br /> PLUMBINC3 MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C—airhandling units <br /> Bathtub � Forcetl air systems <br /> Lavatory(wash basln) _ Gas plping <br /> Shower Water heater <br /> Kttchen sink&disposal _ Gas tireplace <br /> Dishwasher Gas range <br /> Clothes washer Clothes dryer <br /> Laundrytrey _ Range hood <br /> Sink(service/bar/mop/etc.) _ Exhaustfan <br /> Backtlow preventer _ Heat pump <br /> Urinal UnR heater <br /> Drinking Fountain _ Boiler <br /> Floor drain Refrigeration <br /> Grease trap _ Woodstwe <br /> Roof dralns Other <br /> Other <br /> qN OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritify that I have read and examined this application and knowthe same to be true and correct AII prwisions of laws and <br /> ordinaces goeerning thistype of vrork will be complied with whelher specified herein or not The granting of a permit does not presume <br /> to give authority to vfolate or cancel the provision of any other state or local law regulating construction or the peAormance ot <br /> construdlon.That I am authorized by the owner of this property to pertorm the vrork for vfikh application is made and I comply with the <br /> State G�n}ractors Law 18.27 RCW and 296.200 WAC. <br /> ,���-�, 4/30/12 <br /> S�gnature o Owner/ ontracror/ uthorizetl Agent ate <br />