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, ._ ,� -' l�^ 1�;23 FROM- T-217 P��Z/E��9 F-373 <br /> �— <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CED�R STREET, [VERETT, WA 98201 <br /> 425-7_57-8810-FAX 425-257-8857 -wvnv.everettwa.org � <br /> MPLICATIONS ARE ACCEPTED FROM 0 AM TO A PNI �-��'� <br /> SITE ADDRE55 PARCC-L TA%I.D.N PERMIT!! <br /> 2602 VIEWCREST AVE 00734II00000500 (�� ;�S J' ' JC� <br /> �EG�L LOTNO. BIOCK 7RACT <br /> oE$C. <br /> UWN�R PDORGSS dTYIZIP PHONE <br /> BRADLEY ALBERTSEN 2602 VI6WCREST AVE, Everett 98203 425-359-9918 <br /> TGNANTNAMH I CONTACT FOR PER�dIT PHOHE <br /> Naidz I<han/Northwest Pennit Inc 360-945-2787 <br /> CONTI2AC7oR tAI�SCO ADDRE55 CI7�'2iP PHONE <br /> CONTft.LICENS[• WASHIES971 OB 2800 Thorndyke Ave W Seattie, �8199 206-378-6649 <br /> USF OF DUILDING I HGAT SOURCE � CONTRACT PRICL OF WORK <br /> Residential _���n��� X Gas_Other �s5o 00 <br /> WORK DESCRIPTION <br /> Replacing a ga,s to gas 50 gallon water heater <br /> i'LUM6ING MECHAt�ICAL <br /> N0. TYVE OF��X iUliE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> 7oilet _ A/C–alrhandlingunits <br /> Bathtub _ Forced air systems <br /> ` Lavatory(wasb basin) Gas piping <br /> — + Water heatar <br /> Showzr — <br /> � Kitchen sink&disposal _ Gas f�replace <br /> Dishwasher Gas range <br /> -- Gothes Washer _ Clothes tlryer I <br /> Laund tra Ranpe hood <br /> Sink(^ervicelbar/mop/etc.) _ Exhaust fan I <br /> Oackilow prevenler Heat pump � <br /> � Urinal _ Unil healcr � <br /> Drinking Fourtain Boitcr <br /> Floordrain � RelrigeraLon <br /> Grease lrap _ Wooastove <br /> Roof drains _ Olh�r <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX COOE IS A105 <br /> i nereby cerdity Ihat I have read and ezamined U��s applicalion and know lhe same�o be true antl correC,� An provisions of laws and � <br /> � ordinaces governing Ihis type of work will be complied w�th ti�helner specifietl herem or not.The gran6ng ot a pormit tloes not presumx <br /> �, to give aulhority to v�oiate or cancel the provisipn of any olher state or locai law reguleGng construdion or Ihe pedormance of <br /> � conslruction. That I am authonzed by�he ovmer ol this property lo perform the work for wfiich applicalion is maCe and I comply vnth tr�e <br /> Sta rontractors Law 16.27 W�„d z�.��WA�. als7Ug <br /> � • <br /> $ignz c � a:nevContr,cto�blu�,nnnmd Agent Date <br /> � <br />