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l ` <br /> PERMIT APPLICATION 53� <br /> CITY OF EVERETT PERMIT SERVICES N' <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810—FAX 425-257-8857—www.evereriwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAJ(I.D.N PERMIT k <br /> 2505 Pine St 29052000410600 ,ti���p�_ � <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITYl/Jp PHONE <br /> Wayne Kroeze 2505 Pine St, Everett 98201 425-259-1207 <br /> TENANT NAME I COHTACT FOR PERMIT PNONE <br /> Melissa CrodalNorthwest Permit Inc 360-945-2787 <br /> CONTRACTOR WESCO ADDRESS CRVlLP PHONE <br /> CONTR LICENSE/ WASHIES971 OB 2800 Thorndyke Ave W seame, se�ss 206-378-6649 <br /> USE OF BUILDING NEAT SOURCE I CONTRACT PRICE OF WORK <br /> Commercial I _Eledric X Gas_Other $4,2rJ�.�� <br /> WORK DESCRIPTION <br /> Replace a gas to gas 50 gallon water heater <br /> PLUMBING MECHANICAL <br /> N�• TYPE OF FIXTURE OR ITEM NO. TYPE OF FlXTURE OR ITEM <br /> _ Toilet A/C–airhandl(ngunits <br /> _ Bathtub Forcedairsystems <br /> _ Lavatory(wash basin) Gas piping <br /> _ Shower � Weterheater <br /> _ Kitchen sink 8 disposal Gas fireplace <br /> _ Dishwasher _ Gas range <br /> _ Clothes washer _ Clothes dryar <br /> _ Laundry tray Range hood <br /> _ Sink(service/barlmop/etc.) Exhaust fan <br /> _ Backflow preventer _ Heat pump <br /> _ Urinal Unit heater <br /> _ Orinking Fountain _ Boiler <br /> _ Floordrain RefrigeralWr. <br /> _ Grease lrap Wooustove <br /> _ Roofdrains Other <br /> Other — <br /> CITV OF EVERET7 LOCAL SALES TAX CODE 19 7106 <br /> I hereby ceritify that I have read and examined this application and know the same to be true and cortect. All provisions of laws and <br /> ordinaces goveming this type of work will be complied with whether speafied herein or not.Tha granting of a permit does not presuma <br /> to give authority to violate or cancel the provision of any other state or local law regulating cansWdion or the peAormance of <br /> construdion.That I am authorized by the awner of this property to perform the work(or which appliration is made and I comply with the <br /> State Contraclors Law 18.27 RCW and 296.200 WAC. <br /> ./ • ii��f�_��-S � <br /> �ture of OwnedContraaoUAuthor¢etl gent ' Dale - <br />