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PERMIT APPLICATION <br />CITY OF EVERETT PERNIIT SERVICES <br />7200 CEDAR STREET, EVERETT, Wn �8201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICA710N5 ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />1412 MCDOUGALL AVE <br />LEGAL LOT NO. BLOCK <br />nF�r. <br />UWNER <br />DORIS CAIN <br />j TENANT NAME <br />CONTRACTOR 1AlESCO <br />VV <br />�oNTR. u�ENSE' WASHIES971 OB <br />USE OF BUILDINC <br />SFR <br />WORK DESCRIPTION <br />PARCEI TAX I.D. # <br />00475428702500 <br />TRACT <br />1412 MCDOUG/1LL AVE <br />GUNTACT FOR YERMIT <br />Naida Khan <br />PERMI7 # <br />4CtF.,�-rN <br />E�erett ss2o� 425-252-0384 <br />PHONE <br />360-945-2787 <br />ADDRESS CITY2IP PHON[ <br />2800 Thorndyke SEATTLE 800-390-4463 <br />MEAT SOUfiGE <br />Eledric � Gas _ Other <br />Replace gas to gas 50 gallon 40,000 btu water heater <br />NO. I TYVE OF FIXTURC OR ITEM <br />_ �athlub <br />Lavalory (wash hasin) <br />-- J�10\YCI <br />Kitchen sink & disposal <br />Dishwasher <br />C��IhCn N'A9��Cf <br />� Laundry tray <br />Sink (servicelbar/mop/et: � <br />` Rnckflotv prevenwr <br />` Urinal <br />Drinking Pountain <br />� Floordr3in <br />� Greasetrop <br />Root tlrains <br />OU�er <br />CONTR/1CT PRICE OF WORK <br />750.00 <br />NO. TYpE OF FU(TURE OR ITEM <br />_ WC—atrhandlingunits <br />For�d air systems <br />Gas piping <br />i Water heater <br />, Gas fireplace <br />Gas ranoe <br />� Ciotnes aryer <br />Rangc hood <br />Exhaust (an <br />Heai pump <br />Unit heater <br />Boilcr <br />Fa!r�gcr�tion <br />_ Woodstove <br />CItY OF EVERE7T �OCAL SALES TAx CODE IS $105 <br />I hrreby ceritify that I have reatl and examined thl; applicat�on and know ihe same to be true and correC. All provisions of laws antl <br />ar�7in,it.rs pnv.+minp this tvpe nf work �+nll 60 oornplied with whcther opcGfied hcrein or nut. The granliuy �f a permlt tloes nol pre5ume <br />to g�ve authordy to vlolate or cancel ;he provision of any other state or local law regulating construcUon or the performance of <br />constructlon. That i am authorized by the owner ot this property to perform the w�rk for which applicetion is made ard � compiy with the <br />Stote Contrar.tor�.Law 78.27 RCW and 24fi 7M waC , <br />l l � Z�� p� <br />