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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everattwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />PARCEL TAX I.D. 0 <br />PERMITill <br />800 GRAND AVE <br />00439148201500a29051800101300 <br />LEGAL LOT NO. BLOCK <br />TRACT <br />Da_ <br />OWNER <br />ADDRESS <br />CITYIZIP PHONE <br />DIANE KIELAND <br />same as site address <br />ever 98205 425-252-3914 <br />TENANT NAME <br />CONTACT FOR PERMIT <br />PHONE <br />Naida Khan/Cyndal Millhollin 360-945-2787 <br />CONTRACTOR WESCO <br />ADDRESS <br />CITYIZIP PHONE <br />2800 Thorndyke <br />SEATTLE 800-398-4663 <br />rT <br />CONTR. LICENSE 0 WAS <br />A S 1 IH I E S 77 1 O B <br />USE OF BUILDING <br />HEATSOURCE <br />CONTRACT PRICE OF WORK <br />residential <br />/ <br />Electric �Gas _Other <br />$950.00 <br />WORK DESCRIPTION <br />_ <br />re0lare gas 50 gallon hot water heater <br />PLUMBING <br />MECHANICAL <br />NO. I TYPE OF FIXTURE OR ITEM <br />N0. <br />TYPE OF FIXTURE OR ITEM <br />_ Toilet <br />_ Bathtub <br />_ Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />[.sundry tray <br />Sink (service/barlmop/etc) <br />Backfiow preventer <br />_ Urinal <br />Drinking Fountain <br />Floor drain <br />_ Grease trap <br />Roof drains <br />Othor <br />_ A/C — air handling units <br />_ Forced air systems <br />._ Gas piping <br />t Water heater <br />_ Gas fireplace <br />Gas range <br />_ Clothes dryer <br />Range hooQ <br />Exhaust fan <br />Heat pump <br />Unit heater <br />Boiler <br />_ Refrlgeratlon <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify that I have read and examined this application and know the same to be true and correct. All provisions of laws and <br />unlind�a gvverning thls type or werx will be Compiled with vfialner Specified reran or not. The granting of at permit does not presume <br />to give authority to violate or cancel the provision of any other state or local law regulating construction or the performance of <br />construction. That 1 am authorized by the owner of this property to perform the work for which application is made and I comply with the <br />State Contractors Law 10 27 &CIVand 2?0.200 WAC. <br />rin tiCx�-- I - q - I C <br />