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PtRMIT APPLICATION <br /> CITY OF EVERE7T PERMIT SERVICES 3��'�h <br /> 3200 CEDAR STREET, EVERETT,WA 98201 N � <br /> 425-257-8810—FAX 425-257-8857—www.everettwa.orp <br /> AF?L.ICATIONS ARE ACCEPTED FROM 8 AM TO A PM <br /> SITE ADDRESS PAFtCEL TAX I.D,At I PERMIT N <br /> 7513 Heather Wa o05942004001ot M�,�i�_�,��, <br /> LEW1� LOTNO. 9LOCK TRACT <br /> DESQ � 4 $ IV�fi CI'AS{ <br /> OWNER ADDRESS CfIY21P PNONE <br /> Michael Gill 7513 Heather Way Everett 99203 425-513-8299 <br /> TENAHT NAME LONTAGT FOR PE/iMiT PNONE <br /> Melissa Croda 360-945-2787 <br /> CONTRACTOR ��/CC/�� AOORESS CT/21P vHONE <br /> 911C1V 2800Thorndyke SEATTLE 2os-378-6649 <br /> CONTR.LICENSEM W�SHICJ.971 OB <br /> USE OF BJII.pING HEAT SOURCE CONTRACT PRICE OF WORK <br /> SFR _Electric ✓ Ges,._otner f 750.00 <br /> WORK DESCRIPTION <br /> Replace 40 gallon oas to gas w�ter heater- utility room, 40,000 BTU <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM N0. TYPE OF FIXTURE OR fTEM <br /> Toil6t A/C—air h�ndling units <br /> Bathtub Forced air systems <br /> Lnvatory(wash basin) Gas piping <br /> Shawer � Waler heeter <br /> Kitchon slnk&disposal ^ Ges fireplace <br /> Dishwasher Gas range <br /> _ Clothes washer _ Clothec Aryrr <br /> __ Laundrytray Renqehood <br /> _ Sink(service/badmopletc.) , Exhausl tan <br /> � Badcflow preventer Heat Dumq <br /> _ Urinal Un�t heatef <br /> Drinking Fountain ' Boiler <br /> Floor draln —' Re6igeretion <br /> Groase trap Woodstove <br /> Roof d�ains Other <br /> Other — <br /> CT/OF EVEREYT LOCAL 9ALE9 TAK COOG IS�105 <br /> I hereby ceritify shat I hava read and examined 6iis applicatlon and know the same to be We and correct. A�I provisions cf laws and <br /> Ofdinaces goVeming UtiS typE of Nrodt Will be Go1l7Dlied with whr.lhnr speclfied horoin or not.Tho granGng of a permit doas nol pinsurne <br /> to pive authoriry�o violate or cancei the provision of any other state or local law ragulaGng eonstructlon or the performance ot <br /> construction.71tat I am authorized by the owner of this property to perform the work tor which appliration is made and I comply with the <br /> State ConUactors Law 18.7.7 RCW and 296.200 WAC. <br /> �.�� � y � <br /> ignaWre ol OwneqCoMrectorlAuthonzed Ayent Da e <br />