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( <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 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.A PERMIT M <br /> 1425 GRAND AVE, Everett, WA 98201 00475329501300 }� �D 1 � 'U�� <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITYZP PHONE <br /> Barbara Reed 1425 Grand Ave [verett 98201 425-252-4028 <br /> TENANi NAME CONTACT FOR PERMIT PHONE <br /> I Northwest Permit Inc/Melissa Croda 360-945-27E7 <br /> CONTRACTOR WESCO ADDRESS CITV2IP PHONE <br /> CONTR.LICENSEM 2800 ThOmdyke Ave W seatt�e seiss 206-378-6649 <br /> WASHIES971 OB <br /> USE OF BUILDING I HEAT 30URCE I CONTRACT PRICE OF WORK <br /> Residential _e�a«��� x ce5_o�na� <br /> WORK DESCRIPTION <br /> Replacing a gas to gas, SOK BTU Bryant furnace - Model #355AAV42060 <br /> PLUMBING MECHANICAL <br /> N0. TVPE OF FIXTUHE OR ITEM NO. TYPE OF FI%TURE OR ITEM <br /> Toilel AIC–air handling units <br /> Ba�htub � Forced air systoms Dryent eoK BTU lurnaco <br /> Lavalory(wesh basin) __ Gas piping <br /> Showor _ Water heator <br /> Kitchen sink&disposal _ Gas f replaco <br /> Dishwashor _ Gas •ange <br /> Clolhes washer _ Clothes dryar <br /> Laundry lray _ Rango hood <br /> Sink(servico/barlmop/elc.) ,_ Exhaust(an <br /> �ackllow preventor __ Heal pump <br /> Urinal _ Unit heater <br /> � Dnnkinc�Fountain _ Bol�er <br /> floor drain _ Refrigeration <br /> Greaso trap _ Woodstove <br /> Roof drains __ Olher <br /> Olhor — <br /> C�TY OF EVERETT LOCAL SALES TIU(CODE IS 3105 <br /> I horeby ceritify lhat I havn read and examined Ihis applicalion and know the same to be lrue and corcect. All provisions ot laws and <br /> ordinaces govorning this typo of work will be complied with whether specified herein or not.Thn granting of a permit does not presume <br /> to c�ivo authority to violate or cancol tha provision of any olher state or local law regulating conslruction or Ihe perfortnance ot <br /> conslNction.Thal I�m authoriz�-by tho ow�er of Ihis properry to perfortn the work for which application is made and I comply with the <br /> te ConV L'aw 1827 W and ���NAC. <br /> i �! „� � ��-�o -OG <br /> _����. ' Dato <br /> Sign�of�ned(,ontr�cler A thonzed Agent <br /> G <br />