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j PERMIT APPLICATION <br />PERMIT APPLICATION <br />��rr <br />CITY OF EVERETT PERMIT SERVICES N <br />3200 CEDAR STREET, EVERETT, WA 06201 <br />425-257-8810 -FAX 425-257-8857 - www.everettwa.DrO <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ,j.,b % <br />SITE ADDRESS V -. _ PARCEL TAX I.D. # PERMIT # <br />2421 Harrison-AVe- L 00516853300500 O--Ip u <br />_ <br />LEGAL LOT ND.' BLOCK rfJ" TRACT <br />DESC. "vI <br />IEVEpLY ✓tl6{vV 5 &R DJJ O W LO 1 C] LI'Y EV LP PfG KYfI]JWMi { W.p/3 y]I33]!NI l BEIW NN LOT I] WT %AT <br />OWNER <br />CITY2IP PHONE <br />Sue Cammillere N 426 Madison street Everett 98203 425-29U-9759 <br />aw <br />�_ <br />TENANT NAME 1�I <br />11 <br />CONTACT FOR PERMIT PHONE <br />abo 9a� ne <br />Melissa Croda 360-945-2787 <br />•, <br />CONTRACTOR WESCO ADDRESS CITY"ZIP PHONE <br />VV <br />ew n�...nex. searr�E enn „er e <br />2800 Thorndyke SEATTLE 206-378-6649 <br />•,• wasni <br />CONTR. LICENSE q WASHI ES971013 <br />USE OF BUILDING <br />HEAT SOURCE <br />CONTRACT PRICE OF WORK <br />SFR <br />I — Electric ✓ Gas —Other <br />950.00 <br />WORK DESCRIPTION <br />Replace gas to gas 50 gallon 40,000 btu water heater <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />NO. TYPE OF FIXTURE OR ITEM <br />_ <br />Toilet <br />A!C — air handling units <br />_ <br />Bathtub <br />Forced air systems <br />Lavatory (wash basin) <br />Gas piping <br />_ <br />Shower <br />i <br />Water healer <br />III <br />Kitchen sink &disposal <br />fireplace <br />Dishwasher <br />_Gas <br />Gas range <br />_ <br />Clothes washer <br />— <br />Clothes dryer <br />Laundry tray <br />Range <br />_ <br />Sink (servi elbar/mop/etc.) <br />µ.,,....� <br />-op..p"�,... <br />fan <br />_ <br />BackOow preventer <br />_Exhaust <br />pump <br />_ <br />Urinal <br />_Heat <br />Unit healer <br />Drinking Fountain <br />Floor drain <br />_Boiler <br />Refrigeration <br />Grease trap <br />Woodstova <br />_ <br />Roof drains <br />Other <br />_ <br />Other <br />—_- <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 7103 <br />I hereby ceritify that I have read and examined this application and know the same to be true and correct. All provisions of laws and <br />ordinates governing this type of work will be complied with 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 other state or local law regulating construction or the performance of <br />construction. That I am authorized by the owner of this property to perform the work for which application is made and I comply with the <br />State Contractors Law 18.27 RCW and 296/200 WAC. <br />T ��l�lt <br />Signature of Owner/Contractor/�uthonzed Agent ate <br />