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PERMIT APPLICATION <br />CITY OF EVERET3 PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 9d201 <br />425-257-8810 — FAX 425-257-8857 — www.evei etlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 6 PM <br />SITE ADDRESS <br />2020 LEXINGTON AVE <br />LECAL LOT NO. BLOCK <br />DESC. <br />ANDREA STONE <br />TENANTNAME <br />CONTRACTOR �A/ESCO <br />vv <br />CONT� 2. LICENSE #,^' ^ p F� I C p�-7.1 O B <br />vvi•�� �o r i <br />USE o� •a��u.rnti4 <br />residential <br />WORK DESCRIPTION <br />PARCEL TAX I.D. # <br />00544700801500 <br />TRACT <br />same as site address <br />ICONTACT FOR PERMIT <br />CynrJal/Naida <br />ADDRESS <br />2800 Thorndyke <br />HEAT SOURCE <br />_Eledric �Gas`O':her <br />REPLACE GA;t 50 GALLON HOT WATER HEATER <br />PLUMBING <br />NO. � TVPE OF FIXTURE OR ITEM <br />s <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Sltbwc.f <br />Kitchen sink & disposal <br />Dishwasher <br />Glothes vrasher <br />Laundry tray <br />Sink (service/bar/mop/etc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor d�ain <br />Grease trap <br />Roof dralns <br />Other <br />�I:�ZiX3 <br />�b --a s �lc <br />PERMIT # <br />425) 353-3793 <br />PHONE <br />360-945-2787 <br />qTY21P PHONE <br />SFATTLE 800-398-4663 <br />CONTRACT PRICE OF WORK <br />950.00 <br />NO. I TVPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air cys!ems <br />Gas piping <br />Water hearer <br />Gas tireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />F�chaustfan <br />Heat pump <br />Unit hezter <br />8oiler <br />Refrigeration <br />Woodstwe <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify that I have read and examined this application and know the some to be true and correct. All prwisions of laws and <br />ordinaces govEming thistype of work will be rnmplied with whether specifietl herein or not. The grantinq of a perrtut does not presume <br />to give authority to violate or cancel the provision of any other state or local law regulating oonstruction or the pertormance of <br />construction. That I am authori�ed by the owner of this property to perform [he vrork for which application is made and I mmply with the <br />State Gontrac[ors Law �8.27 RGW and 296200 WAC. <br />T;'�-: -_: 10/24/11 <br />Signature ot Oconer/Con[ractorlAuthorizetl Agent Date <br />