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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425•257-8810 — FAX 425-257-8857 — www.evereriwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />2031 VIRGINIA AVE <br />LEG4L LOT NO. BLOCIC <br />DESQ <br />RACHEL BOWEN <br />TENANTNAME <br />CONTRACTOR\AfESCO <br />VV <br />CONTR. LICENSE l! `^, ^ S H I ES.77 � OB <br />VYr\ <br />USE OF BUILDING <br />residential <br />WORK DESCRIPTION <br />REPLACE GAS 60K BTU FURNACE <br />NO. � TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes �vasher <br />Laundry tray <br />Sink (service/bar/mopfelc.) <br />Backflow prevenler <br />Urinal <br />Orinking Fountain <br />Floor drain <br />Grease trap <br />Roof tlrains <br />Other <br />PARCEL TAX I.D. M <br />00401541601501 <br />TRACT <br />PERMIT • <br />SAME AS SITE ADDRESSS Everett 98201 425-252-6992 <br />CONTACTFORPERMIT <br />vndal/Naida <br />ADDR£55 <br />28G0 Thorndyke <br />HEATSOURCE <br />_ Electric � Gas_ Other <br />PHONE <br />360-945-2787 <br />ON21P PHONE <br />SEATTLE 800-398-4663 <br />CONTRACT PRICE OF WORK <br />6110.00 <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C—alrhandling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />UnR heater <br />Boller <br />Retrigeration <br />Woodstwe <br />Othef <br />CIT' OF EVERETT LOCAL SALES TN( CODE IS J705 <br />I hereby ceritify that I have read and examined this application and I,now the same to be tme and correct. All prwisions ot faws and <br />ortlinaces goveming this type of work wll be complied with whether specified herein or noL The granting of a permit tloes not presume <br />to give authority to violate or cancel the provis�on of any other state or local law regulating wnstruction or the performance of <br />construction. 7hat I am authorized by the owaer ot this property to pertorm the v.rork for which application is made and I comply wtth the <br />SYate Con[ractors Law �827 RCW and 296.200 WAC. <br />T;=�--�_. 8/19/11 <br />Signature of OwnerlContractorlAu[horl_etl Agent Date <br />