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�5-�8- G7 17: 37 FRGM- T-190 PDG2/�02 F-251 <br /> PERMIT APPLICATI4N <br /> CITY OF EVERETT PERMIT SERVICES �_�.� _�� 6 �by <br /> 3200-CEDFCR-STREE"I;EVER�TT,–WA 98201 <br /> __ _ <br /> 425-257-8810 - FAX 425-257-8857-www.everettwa.org � <br /> – – .. . . ._ _- -.. <br /> —T --- d1,RRL-IGAIAIINS-ARF�CCG��TFO-ERQM:A/�M"YA 1'PM —_ <br /> � PERMIT p <br /> SITE AU�R[SS PARCEL TAX I.D.q <br /> 3414 KromerAve ooa3�78300320o r1, �1 ��� � ::� �.� <br /> LEGAL LOT NO. �LOCK TRACT <br /> DeSC. ������*� ����o�;��•�' n�ne�oevciKe�0000 EVC-RC-TT DIV H REPLAT <br /> OWNER AD�RESS CITY2IP PHONE <br /> Kim Ralliff 3n 14 Kromer Ave Everett 98201 425-388-8957 <br /> 7ENANT NAME CONTACT FOR PERMIT PI10NE <br /> IMelissa Croda 360-945-2787 <br /> CONTRAGTOR �n/ESCO A�DRE55 CI7Y/ZIP VNONE <br /> ��� 2800 Thorndyke SEA7TL� 206-378-6649 <br /> CONTR.LICENSE M WASH I ES97 1 OU <br /> USE OF 6UILDING HEAT SOURCE CONTRACT PRICE Of WORK <br /> SFR � _Eleciric �Gas_Olher 950.00 <br /> --�'- <br /> WORK o[SCRIPTION <br /> Replace gas to gas 50 gallon 40,000 btu water heater <br /> PLUMBING MECi�iANICAL <br /> Np, TYPE OF FIXTUf3E OR ITEM NO. 7YPE OF FIXTUftE OR I7FM <br /> Toilet _ NC-airhantllingunils <br /> � 6athlub _ Forocd air systems <br /> Lavalory(wash hasin) _ Gas pipinc� <br /> y— Shov:er � Water healer <br /> Kitchan sink&disposal _ Gas flrapiaco <br /> �ishwashe� _ Gasrange <br /> Clolhes washer Clclhos drycr <br /> — n, y � Ran e hood <br /> S nk(sarv ce/badmoplatc.) Exhaust lan <br /> � eackllow preventer _ Heal pump <br /> Unnal Unit heatcr <br /> Drinkinq Fountain _ �oiler <br /> Floor drain Ro(riporation <br /> Grease trap _ Woodstove <br /> ROOf�drains _ OIhE� <br /> Other — <br /> — —_- i <br /> `— CI7Y OF EVEREiT LOCAL SALES TAX COOE IS 3105 <br /> I h¢t¢by centify Ihdt I havo reatl and e;:amin¢d Ihis applicslion and know lhe same to Oe true and corracL Ail provisions of laws and <br /> ordinaces govcrNng this ryDe of work will�e compli�d with whelher specilied herr.in or nol.The g�anling ef a permd does nol presume <br /> lo giva aulhorty to vioiale or cancel�'�,o pwvision of any other state ar Ixal law reguiating co.�struclion or the perfomiance of <br /> cOOS�rUcliOn.Thal I ORI 2UIhOfizpd by lhC OWOBf Of lhis propefYy 10 uO�Orm lhe worl�IOf WhiCh et]IiC0�011 IS mada and I Cotllply wilh the <br /> 5ta�e Gontrar,;ors Lmv 70.2%RCW and 2fl620o WAC. <br /> �' r <br /> _� �.,->s��i .f j d � <br /> SlflnalureofOw�ConlractonqulhonzedAcent Date <br />