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SITE ADDRESS <br />2506 HILLSIDE LN <br />IEGAL LOT NO. <br />DESC <br />ORIN FJERAN <br />7ENANTNAME <br />CONTRACTOR 1AlESCO <br />�� <br />PERMIT APPLiCATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM S AM TO 4 PM <br />PARCEL TAX I.D. # <br />00567900200101 <br />BLOCK � TRACT <br />CONTR. LIC ENSE q,^ �^� u I C p�7.1 O B <br />VV/'1 11 LJ / I <br />USE OF BUILDING <br />SFR <br />WORK DESCRIPTION <br />2506 HILLSIDE LN <br />ICONTACT FOR PERMIT <br />Naida Khan <br />ADDRESS <br />3909 196th St SW <br />HEAT SOURCE <br />_ Electrir � Gas _, Other <br />PERMIT # <br />Everett �e2o3 425-353-2772 <br />PHONE <br />360-945-2787 <br />pTY21P PHONE <br />Lynnwood 500-398-4663 <br />CONTRACT PRICE OF WORK <br />'. • 1 : : <br />GAS WATER HEATER WITH 5' GAS PIPING. REPLACE 80K GAS FURNACE. <br />NO. � T'PE OF FIXTUFE OR ITEM <br />Toile[ <br />8athtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Laundry [ray <br />Sink (service/barlmop/etc.) <br />Backflow preventer <br />urinal <br />Drinking Fountain <br />Floor drain <br />Greasetrap <br />Roof tlrains <br />otner <br />NO. I TVPEOFFIXTUREORITEM <br />� <br />� <br />A/C —air handling uni[s <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clolhes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unit hea[er <br />Boiler <br />Relrigeration <br />Woodstwe <br />Other <br />CITY OF EVERETT LOCNL SALES TAX CODE IS 7705 <br />I hereby ceritify that I have read and examined this application and know the same to be true and correc[ All prrnisions of laws and <br />ordmaces governing thistype of �wrk will be complied with whether specilied herein or not The gran[ing of a permit does no[ presume <br />to give authonty to violate or cancel the provision of any other state or local law regulating mnstruction or the pedormante of <br />construction. That I am authoriced by the owner of th�s property to perform the work for whkh appGcation is made and I comply with Ihe <br />State Con[ractors Law 18 ^_7 RCW and 296200 WAC. <br />� � � � UynellYvm�edlrYHa�AnMan <br />n 5 � � �l 'l Y1 [lL�.cn.haNalA�nlm�athe�reihnnit <br />