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—�� <br /> h/P�co dS��l2 <br /> �ERMIT APPE.ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810-FAX 425-957-8857-www.everettwa.org <br /> ;uR?LICATIONS ARE ACGEPTED FROM 8 AM TO 4 PM <br /> --.. ...... <br /> SITE ADDRESS PARCEL TAX I.D.N PERM A <br /> 2804 Panaview Blvd ooso370000asoo M ��. _ <br /> lEGA LOT N0. BLOCK TitI�CT <br /> oesc. a9 000o Valle View <br /> OWNER ADDRE GR►RIP P Of1E <br /> Randall Johnson 2804 Panaview Blvd e�eren se2a� <br /> TENANT NAME CONTACT FOR VERMIT pNONE <br /> Melissa Croda, 360-945-2787 <br /> CONTRACTOR fA/�SCO �DRESS CfiYfLP PHONE <br /> ��� 2800 Thorndyke SEATTLE 206-3 8-6s4s <br /> c°'rrn"`E"gE'WASHIES971 OB <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRI E OF WORK <br /> SFR _e��n;� ✓ �a5_ane� 10458.00 <br /> WORK DESCRIPTION <br /> Replace Gas 80 BTU Fumace Model # 350AAV36060, Gas piping 20'to Water Heater, 0 ' <br /> to Fumace, 10' to BBQ, 10' to Dryer& 20'to Range <br /> PLUMBING MECHANICAL � <br /> NO. TYPE OF fl%TURE OR ITEM NO. TYPE OF FlJRURE OR M <br /> Tollot A/C-air hendling unlb <br /> _ 8athtub i Forwd air systams <br /> _ Lavatory(wash basln) s Gas pipinp <br /> ghnwur Wator haator <br /> _ Kitche�sink 8 disposal Gas�ireplace <br /> _ Dishwasher � Gasrange <br /> __ Clothes washer Cblhes dryer <br /> _ Laundry Vay Range hood <br /> Sink(servicelbar/mopletc.) � F�chaustfan <br /> Badcflow Dreventer _,,. Heat pump <br /> Urinal Unit heater <br /> Drinking Founfein � Boiler <br /> Floor drain ^ ReMgeration <br /> Grease trap Woodstove <br /> —� Roatdreins Offier <br /> � Other — . <br /> LITY OF E�ERETT LOGAL SAlE3 TNC CODE 19:f7U3 <br /> I horeby ceritiry thel 1 hove read and examined this application afW Imow the same to be hue and corred, All provisan of lews and <br /> ordinacos govvming this type of work will ba compliad with whethcr apcciflcd hcrcin or not.Tho granting of a partnit do n not presume <br /> to give authority to violate or cancel the provision of eny other slate or local law regulaNng construction or the performa ce of <br /> construction.Thet I am authonzed by the owner of this property to perform ths work for which applicaGon Is mede enA I mply with the <br /> $1at?Contradors Law 1A.27 RCW and 296.200 WAC. ;1 <br /> T ����1 9/7�6 <br /> $ignature ol CTmer/Co rtractorlAuthorited Apenl ArP <br /> i <br /> S <br />