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PERMIT APPLICATION <br />CiTY OF EVERETT PERMIT SERVICES <br />. VV� L�M�\J11\LL'I�CVGf�C111VVI1.".OLVI <br />425-257-8810 — FAX 425-257-8857 — vnvw.everettwa.org <br />APPLICAT10N5 ARE ACGEPTED FROM 8 AM TO 4 PM <br />SITE FDDRESS PARCEL TAX I.D. p <br />�,���}�� y�;� 5 f�=� 00500400500100 <br />LEGA lOTNO. ��OCN TRACT <br />❑ESC <br />owr+eR nooRess 5az S�3'�� anrziv <br />ROCHEL AVALOS 2204 61RS�erett �82f13 <br />TENANT NAME CONTACT FOR PERMIT <br />• Naida KhanlNorthwest Pamiit Inc. <br />CONTRACi')R WESCO <br />CONTR.LICENSEM WASHIES97106 <br />U56 OF BUILDING <br />Resideniial <br />A��RESS <br />PERMIT # <br />425-�fiA-7�Ofi <br />PHON[ <br />360-945-2787 <br />CITY2IP PHONE <br />2500 Thomdyke Ave W Seattle, 98199 206-378-6649 <br />H@AT30URCE <br />_Eled�ic X Gas_Other <br />GONTRAGT PRIGE OF WORK <br />S4,768.63 <br />WORK DESCRIPTION <br />Replacing a Bryant 60K BTU gas f�rnace - Model #355AAV042060 <br />N0. I TYP[ OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />� Lavatory (wash basin) <br />— shower <br />Kitchen sink & disposal <br />� �ishwaeher <br />Clothes waahcr <br />Laundry tray <br />Sink (scrviceR�admoplatc.) <br />L�pc��ow prpvontu' <br />Urinal <br />Dnnkiny Pountain <br />Floor drain <br />Grease trap <br />Rooi drains <br />Other <br />N0. � TYPG OF FI%TURE OR IiEM <br />AlC — air hartlling units <br />� Forced air systems <br />Gas piping <br />— water neater <br />Gas fireplace <br />� Gas range <br />Glothes dryer <br />� Range hood <br />Exh2U5i �B� <br />Hcat pump <br />Unit heater <br />Boiler <br />RP.inpvratinn <br />Woodstove <br />GIIY Of EVERETT LOCAL S�LES TA7C GOOE IS 1103 <br />I hereGy centity that I have read and examined this applicalion and know the same to be true and corred. All provislons of laws antl <br />oMinaces govoming this ty0e of �vnrk will ba mmpl�od w�th wnather epaci`�ad harein or not. The granting o( a permit tloec not prccumc <br />to give authoniy to violate or C2ncel the provision of any other s;ate or local law regulating CpnstNdion or the peff�R7lanCC o! <br />conslruqion. That I am autborized by the owner of this property to pertom��}}} the work for whith appllcaron is made and I comply with the <br />stnte Ccntl� I,/w_ B i F p� A� o wnc. i� J� _/� <br />r <br />� /1 Yl�l/U1. / I (7 <br />