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PtRMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8657 — www.everettwa.org <br />SITE ADDRESS <br />1711 Holbrook Avenue <br />LEGAL LOT NO. <br />DESC. <br />Gary Kegley <br />TENANTNAME <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. if PE <br />�'�'�494��Gn� `/�D <br />BLOCK TRACT <br />ADDRESS CITY2IP PHQ <br />11515 N Lakeshore Drive Lake Stevens 99258 <br />ICONTACT FOR PERMIT <br />Jim Holden <br />PHONE <br />425-746-3077 <br />CONTRACTOR ADURESS CITY2IP PHONE <br />All Climate Heating & A/C 14715 N.E. 95th Unit B Redmond, WA 98052 425-746-3077 <br />CONTR.LICENSE# ALLCLCH966C6 <br />USE OF BUILDING <br />WORK DESCRIPTION <br />HEATSOURCE <br />_ Eiectric x Gas _ Other <br />CONTRACT PRICE OF WORK <br />$5000 <br />install gas f.urnace, gas water heater, install gas pipe to furnace, water heater <br />and fireplace. <br />PLUMBING <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilel <br />Bathlub <br />Lavalory (wash basin) <br />Shower <br />Kilchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/bar/mop/elc.) <br />BackOow preventer <br />Urinal <br />Drinkinc� Founlain <br />Floor drain <br />Grease lrap <br />Roo( drains <br />Olher <br />NO. I TYPE OF FI%TURE OR ITEM <br />A/C — air handling units <br />�_ Forced air syslems <br />� Gas piping <br />_L Walerheater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Rango hood <br />Exhaustfan <br />Heal pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />I hereby ceritity lhat I have read and examined this application and know the san,e to be true and correcl. All provisions ot laws and <br />ordinaces c�overning this type of work will be complied with whother specified herein or noL The granling of a permit does not presume <br />to c�ive authority lo vio�ate or cancel Ihe provision of any other slale or local law regulating construction er the pedormance ot <br />conslruction. That i am aulhorized by the owner of lhis propeRy to perform lhe work 6�r which application is made and I comoly with lhe <br />State Cenlractors Law 18.27 RCW and 296.200 WAC. <br />�� 4ti. �. �. ., , `� -�, ����� 3-6-06 <br />