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4/c.i�. - �(�.LJ <br /> V <br /> I-ERMIT APPLICATI�N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810-FAX 425-257-8857-www.evereriwa.or�7 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SRE ADDRESS PARCEL TA7C LD.N PERMI / <br /> 2330 E Grand Ave ooso2e5�oo��oo ,M� �<<�—��� <br /> LEGA l0T N0. BLOCK TRACT <br /> oesc. t7, �8, 19 fl 20 51 o D Union Trust Co S 1 st Add to Everett <br /> OWNER A��RCS:r CT'lLIP PhONE <br /> Larry & Adina Sowle 2330 E Grand Ave ever�tt sezo� 425-2 9-7025 <br /> 7eHANT nwrE COw7,►C7 FOR PERMR PMONE <br /> IMslissa Croda 360-9 5-2787 <br /> CONTRACTOR GeneSee AODRE59 CT'21P PHONE <br /> 361 fi Genesee Street seattie sai as 206-7 2-1545 <br /> corira.ucense�GENESFH37006 <br /> USE OF BUILDING I HEAT SOURCE CONTRACT PRI E OF WORK <br /> SFR ✓Electric ^Gas_Other 3653.00 <br /> WORK DESCRIPTION <br /> Replace Lennox 4 Ton Heat Pump XP19-048-230 <br /> PLUMBING MECHANICAL <br /> NO. 'YPE Of FIXTURE OR REM NO. TYPE OF FIXTURE OR fT M <br /> _ Tnilr.t A/C-air handling uni� <br /> ___, Balhtub Foreed air systems <br /> Lavatory(wash basin) Gas piping <br /> —_ Sh6W0f �' WAtP.fh�afwr <br /> _ Kitchen sink 8 disposal ^ Gae 6rcplace <br /> _ Dishwasher Gas renge <br /> _ Clotl�es wa5her Cblhes dryer <br /> _ Laundry tray Range hood <br /> _ Sink(serviee/bar/mopletc.) � Ezhaustf�n <br /> _ BeckFlow prevenler � Heet pump <br /> Urinal � Unit heater <br /> Drinking Fountain Boiler <br /> _ Floor draln Refigeration <br /> Grease trap Woodstove <br /> � Roof drains � Other <br /> Other — <br /> GRY OF EVERETT LOCAL 3ALC5 TAIf GODE IS J103 <br /> I here6y ceritify that I have read and examined thls applicallon and kraw the same to be trve and correct. All proviston of lews and <br /> ordinacr.s govr.minp thie fype nf wnrk wi�l be complied wiM wheffier spocifiod herein or noA Tha gmnting vf a�permit d not pmsuma <br /> to give authority to vlolate or cancel the provision oi any other state or local law regulating wnsWetion or the periorman of <br /> construetion.That I am authorized by the owner o(Ihis property to pertortn the work for which appliptlon is made and I mpiy with the <br /> State ConGactors Law 18,27 RCW and 296.2W WAc. <br /> �' ��� �/�/ <br /> 5igneture of OwneNContraqoqAuthorized Apent Dete <br />