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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />d25-257-6810 — FAX �125-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PMt <br />51TE ADDRESS <br />5121 W Hi hland <br />LEGAL LOT NO. BLOCK <br />oE�C. p1 000 <br />PARCEL TAX I.D. If <br />00442200002100 <br />TRACT <br />ierareen Terrace <br />Clayion Olsen 5121 W Highland <br />TENANT NAME CONTACT FOR PERMIT <br />Melissa Croda <br />CONTRACTOR \11ICSCO <br />VVC <br />CONTR. LICCNSC� WASI-IIES971 OB <br />US[ OF BUI�DING <br />SFR <br />WORK DE9CRIPTION <br />ADDRESS <br />2800 Thorndyke <br />liepiace 50 gallon gas to gas water heater <br />NO. � TYPE OF FD(TIIRE OR REM <br />Toilot <br />Bathtub <br />Lavatory (wash basln) <br />Showcr <br />Kilch:n sink & disposal <br />Dishwasher <br />Clothoc �vashor <br />Laundry tray <br />Sink (servi�e/bar/mopletc.) <br />R�ekMw rreventor <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grcasetrap <br />Roa( drains <br />Other <br />HEATSOURCE <br />Electric � Gas Other <br />PERMIT it <br />�; l��iC� �� � � <br />Everett sb2o3 425-259-2356 <br />PHONE <br />360-945-2787 <br />CRYTP PHONE <br />SEA'TTLE 206-378-6649 <br />CONTRACT PRICE OF WORK <br />950.00 <br />NO, � TYpE OF FIXTURE OR (TEM <br />A/C — alt hantlling Units <br />Forced olr systems <br />Gas piping <br />Waler hea[er <br />Gas fimploce <br />Gas ranpe <br />Cblhes Jiye� <br />Rangehood <br />Exhaustfan <br />Hcot pump <br />Unit heoter <br />Boiler <br />RaMgera6on <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SAL[5 TAX CO�E IS 3105 <br />I hereby centiry that I have read and oxamined this applicatio„ and know the same to ba lrue and correct All provislons of laws and <br />ordinaces govo�,ing thls type ot v.vih wi�l uu wmVlled witli whecher speGnea Betein or not. The granting of a permit does not presume <br />to glve authonty to viulate or cancel the provision of any olher sistc or locat law regulating construction or the pertormance of <br />construclion. That I om aulhorized by the owner of this pmperty to pedorm the work tor which opplication is made end I comply with the <br />Stato Conlroctors LeW 10.27 RCW and 290.200 WAC. <br />T ����� �/r�/6 <br />