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04-12-'07 13:96 FROM- <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 />T-027 P092/092 F-099 <br />APPL�CATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ��- I Z-- U� <br />SITE ADDRESS PARCEL TAX I.D. N PERMIT X <br />2611 Rainier Ave 00437860500600 .n� G - oa = <br />LEGAL LOT N0. 9LOCK TRACT � <br />oEsc. LOTS 6 8 7 BLK 605 D-00 - EVERETT DIV 1 PLAT <br />WN R ADDRESS GITYRIP PXONE <br />William Lyon 2611 Rainier Ave Everett 98201 425-259-2417 <br />TENANTNAME <br />CONTRACTOR 1�/ESCO <br />vv <br />CONTR, LICGNSE � WASH I ES971 OB <br />USE Of BUILDING <br />SFR <br />WORK DESCRIPTION <br />CONTACT FOR PERMIT <br />tilelissa Croda <br />ADORESS <br />2800 Thorndyke <br />HEATSOURCE <br />_ Electric � Gas _ Other <br />Replace gas lo gas 40 gallon 40,000 btu water heater <br />iLN <br />N0. I TYVE OF FIxTl1RE OR ITEM <br />Toilet <br />8athluh <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Laundry iray <br />� Sink (service/berlmop/etc.) <br />BeckOow preventer <br />+ U�inal <br />Dnnking Fountain <br />� Floor drain <br />Grease lrap <br />� Roof drains <br />� Other <br />360-945-2787 <br />GTrrz�p vMONe <br />SEATTLE 206-378-6649 <br />CONTRACT PRICE OF WORK <br />750.00 <br />NO. I TYPE OF FIXTURE OR ITEM <br />PJC — air hantlling unlls <br />Forced air syslems <br />Gas piping <br />Water heater <br />Ges fireplace <br />Gasrange <br />Clethes dryer <br />Range hood <br />Exhoustfan <br />Heal pump <br />Unit healer <br />Bailer <br />Relnperation <br />Woodslove <br />Other <br />CI7Y OF EVERETT LOCAL SALES TA7( CO�E IS J10S <br />I he�chy ceritiy that I have read antl examined this app�iwtion and know the sama to be true and wrrect A�I provisions ol laws and <br />ordinaces goveming this rype ot work ��II be complied with whelhar specified herein or nol. The gr2ntinp ot a permit does not presume <br />ta �ive aulhoriry lo violate or cancel tha provisi❑n of any olher state or lo;al law regulating constniction or the performance of <br />conshuctiun. That I am authorized by the owner of Ihis property lo periorm the Hork for which application is made and I comply with the <br />State Contractors Law 1827 RCW and Z9o200 WAC. <br />�' /.�%,�..�% 5��//�7 <br />