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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �� a- / <br />SITE ADDRESS <br />6601 HIGHLAND DR <br />BLOCN <br />OCLC. <br />PARCEL TAX LD, �1 <br />00531700302000 <br />OWN[R ADD I 21 -- <br />DUnNF- JACOBS 6601 HIGHLAND DR EVERE1T,882W 425-355-fi371 <br />TENu1T ��WIE CONiACT FOR PERMtlT PNON[ <br />INaida Khan 360-945•2787 <br />CONTRACTPRI��ESCO <br />vY <br />co�+r� ucena� e WASHIES971 OB <br />USC OF BUILDING <br />SFR <br />WORK DESCRIPTION <br />AODR[SS <br />2800 Thorndyke <br />MEATSOURCE <br />_Eleelrfc �Gae_Other <br />REPLACINC3 A GAS TO GAS 40 GALLON WATER HEATER <br />NO, I TYPE OF FlXTURE OR ITEM <br />Bethtub <br />Lavatory (v�sh ba6in) � <br />Shrnwr <br />Klkhen eink d dispasal <br />Dichws�her <br />ciotnes waaher <br />Loundry ttay <br />Sink (aervicePoarlmoplelc.) <br />B�cMiow pnvenler <br />Urinel <br />Drinking FauM.iln <br />Floor droin <br />Graas� trap <br />i!^..�.a.t81B6 <br />CkFwr <br />CRY21P PNONE <br />SEATTLE 206•378-6649 <br />CONTRACT <br />750.00 <br />NO. � T/PEOFFlXTUREORIfEM <br />�vc — air nanqling unRs <br />Foroed eir nysterro <br />Gae piping <br />Water heeter <br />Gas fireplace <br />Gas rangt <br />Clothea dryer <br />Range hood <br />Exhaust fan <br />Fleat pump <br />Un@ heafer <br />Boller <br />Refligeretion <br />Woodstove <br />�ICf <br />CITV OF EVERETT LOCILL SALES TA%CODE IS 5105 <br />I henpy aritly thaf I have reed end exemined thfs application and knaw the same to be trua and wrrect. All provislons of laws entl <br />ordir.axe poveminp this typ� of work will be complied wlth wlielher �psufwU hsiein ur nuL The prentlnp of e permlt d0es q0I pnSUmi <br />to giva euthority to violate or cenal Me provislon of any otherstate ar local law repulatinp ronsWction or the Derformance of <br />construqlon. That I am autharizad by the owner of thls property to perlortn the vro farvfilch appllantion ia matle nnd 1 a�nply with tlie <br />Stete Co orc Law 1 Z7 RCW end 296.200 WAC, p � <br />�/�� ( <br />Si9�alure o qnntractor/Authorizatl ABP�t Date <br />