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SITE ADDRESS <br />7718 Lower <br />LEGAL LOT NO. <br />oesc. LOT 35 <br />David Peterson <br />TENANTMAME <br />CONTRACTOR lA/�SCO <br />�� � <br />PERMIT APPLICATION <br />CITY OF EVERETT PERM�T SERVICES <br />3200 CEDAR STREET, EVERETT, WA 96201 <br />425-257-8810 — FAX 425-257-8857 — www.everetriva.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />BLOCK <br />BLK 000 D•00 <br />CONTR. LICENSE M W AS H I ES.771 OB <br />USE OF BUILDING <br />SFR <br />WORK DESCRIPTI6N <br />Replace 60 8TU Furnace <br />NO. � TYPE OF FIXTURE OR ITEM <br />Toilot <br />Bathlub <br />Lavalory (wash basin) <br />Shower <br />Kilchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Laundry lray <br />Sink (service/badmoplelc.) <br />Bockflow provontor <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Greass !rap <br />Roof drains <br />Other _ <br />i�ARCEL TAX I.D. # <br />0069500003500 <br />TRACT <br />IDGE ESTATES <br />7718 Lower Ridge <br />CqNTACT FOR PERMIT <br />Melissa Croda <br />AD�RESS <br />2800 Thorndyke <br />HEATSOURCE <br />Electric ✓ Gas Olher <br />y a�` <br />J �a `�� <br />PERMI7 N <br />mn� GI�Q�{� <br />Everett se2o3 425-355-0413 <br />PHONE <br />360-945-2787 <br />CITY2IP PHONE <br />SEATTLE 206-378-6649 <br />COkTRACT PRICE OF WORK <br />4578.00 <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forcod air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clolhes dryer <br />Range hood <br />Exhaustfan <br />Hoat pump <br />Unit hoater <br />Boiler <br />Refrigeration <br />Woodstove <br />Other <br />C�TY OF EVERETT LOCAL SALE:t TAX CODE IS 3105 <br />I hereby ceriti(y Ihat 1 have read ar,d examined lhis application and know lhe same to be true and cortect. All provisions of la�vs and <br />ordinacas goveming this type of work will be complied wilh whether specified herein or not. The granting of a permit does not presume <br />to give authority to violate or cancel the provision oF any othor state or local law regulating construction or the pedormance of <br />construction. That I am authorized by the owner of lhis property to perform lhe work for which applicalion is made and I comply with the <br />Slate Conlraclors Law 1827 RCW and 296.200 WAC. <br />T-� �� y � <br />Signat— ure o�wneUContractodAuthorized Agent Date <br />