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� PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES , <br /> 3200 CEDAR STREET, EVERETT, VdA 98201 I <br /> 425-257-8810—FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO A PM <br /> sITF AODRE55 PARCEL TAX I.D.p PERMIT p <br /> 456 VIEW RIDGE DR 00606100000400 �,� 1�} � � <br /> LEGA LP7N0. BLOCK TRACT � <br /> OBSC. <br /> OWNER ADDRESS CINZP PI10N[ <br /> DARYL ERICKSON 456 VIEW RIDGE DR, Everctt 95203 425 259-6735 <br /> TENANTNAME I CON7ACTFORPERMIT PIiON[ <br /> Tania Reinecke/Northwesl Pcrmit Inc 360-945-2787 <br /> CONTRAC70N WESCO AODR[SS CITYIZIP PIIUNE <br /> CONiR.LiCENSER WASHIES97106 Z800 Thomdyke Ave W Seatlle. 98199 206-378-6649 <br /> USE OF FUILDING HEAT SOURCE CON7RACT PRICE OF WORK <br /> Res�dential _E�e�t�� x Gas_Other $950.00 <br /> WORK DESCRIPTION <br /> Replacing a gas to gas 50 gallon water heater <br /> I PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Tollet A/C—air haneling units <br /> Bathtub � Forced a�r systems <br /> I ,� Lavatory(wash basin) _ Gas piDinp <br /> Shower � Water heater <br /> Klichen sinK&disposal _ Gas fireplace <br /> Oishwasher _ Gas ranpe <br /> Clothes washer Clmhes dryer <br /> Laundry tray ! R2nge hood <br /> Sink(service/barlmop/etc.) � Exhaust fan <br /> � BacKtlowpreventer _ Meatpump <br /> Unnai Umt heater <br /> � Drinking Fountain _ Boiler <br /> Flwr drein Refrigeraliun <br /> Grease trap _ Woodstove <br /> Roof drains Other <br /> ofhcr <br /> CIN OF EVERETT LOCAL SALES TAX CODE IS 3706 <br /> I hereby cenlity that I have read and ezaminetl this application antl know the same ro be frue and corred. All provislons of laws and <br /> ortlinaces goveming tnis type of worK Lw1 be comp�ieo with wnethzr speafled nerein or noe The grencing ot a permn tices noc presume <br /> t0 givC duthOtity IO vi012te ot C8f1C21 IhC FfOvi5i0n Ot Bny OthOr SfB10 Of IOC3117W fBgulating pOnsinlCtion or the Pef(ormance of <br /> construction.That I am authonzed 6y the owner of thls preDertY to pertortn th/e work for�tihich application is made and I comply w�th Ihe <br /> State Conlracro/��,_ " �d 2?8.200 WAG 1 / ! <br /> Slgnpturc of cr/ControcmUAuthon:cd Agcnt �eO � <br />