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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 — wnvw.everetlwa.org <br />4PPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />2114 VIRGINIA AVE <br />LEGAL LOT NO. BLOCK <br />DESC. <br />CESAR GONZALEZ <br />TENANTNAME <br />CONTRACTOR \A/ESCO <br />vv <br />�o"TR. u�E"SE " WAS H I ES971 O B <br />USE OF BUILDING <br />resideiitial <br />WORK DESCRIPTION <br />PARCEL TAX I.D. # <br />00401544202500 <br />TRACT <br />same as site address <br />ICONTACTFORPERMIT <br />Cyndal/Naida <br />ADDRESS <br />2800 Thorndyke <br />HEATSOURCE <br />_,Electric �Gas_Other <br />s: �: <br />QTY21P <br />SEATTLE <br />3 ��3 -�a <br />PERMIT # <br />an3-o►� <br />PHONE <br />425-673-5421 <br />PHONE <br />360-945-2787 <br />PHONE <br />800-398-4663 <br />CONTRACT PRICE OF WORK <br />10740.00 <br />REPLACE GAS 60K BTU FURNACE WITH 35' GAS PIPING AND TANKLESS HOT WATER <br />HEATER WITH 25' GAS PIPING AND 5' EACH HOT 8 COLD WATERLINE EXTENSIONS <br />NO. I TYPE OF FIXTURE OR ITEM <br />� <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />CloNes washer <br />Laundry tray <br />Sink (servicelbadmopletc.) <br />Backflow preventer <br />Urina� <br />Drinking Fountaln <br />Floor Urain <br />Grease trap <br />Roof drains <br />Olhef �'�'AT@RLWHS <br />NO. I TYPEOFFIXTUREORITEM <br />A/C — air handling units <br />Forcetl air systems <br />Gas piping <br />Water heater <br />Gas lireplace <br />Gas range <br />Clothes dryer <br />F2ange hood <br />Exhaustfan <br />Heatpump <br />Unil heater <br />Bailer <br />Refrlgeration <br />Woodstwe <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certtify thal I haae read and ezamined this application and knowthe same to be true and correct. All prwisions ot laws and <br />ordinaces goveming this type of work will be mmplied with whether specilietl herein or not. The granting ot a permii dnes not presume <br />to give authonty to viotate or cancel the provision o1 any other state or local law regulating construction or the pertormance of <br />constructlon. That I am authorized by the o�mer oi this property to pertorm the work for whi:h application is made and I mmply with the <br />State Contractors Law 1827 RGW and 296200 WAC. <br />T:-' : -_. 3/12/12 <br />Signature of OwnerlContractor/Authorizetl Agent Date <br />