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�9-�4-'l�9 12:22 FROM-nw Lermit 136�9952�91 ,'-b'ar_ F002/003 F-6^o5 <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — �wnv everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br />SITE ADDRE35 <br />2615 VIRGINIA AVE <br />LEGAL LOTNO� �LOCK <br />DESC <br />PARC[L TAX I.D, p <br />oon378GOn�07o0 <br />TRACT <br />PER�dIT N <br />71M YOUNGBURTH 2615 VIRGINIAAVE EVERE1T98201 425-422-0976 <br />TENANTNAM[ CONTACTFORPERMIT PHONE <br />Naida Khan/Northwest Permit Inc 360-945-2787 <br />CONTMCTOR W�SCO ADDRG55 cmair PHONE <br />2800 Thorndyke SEA7TL� 800-398-4663 <br />CONTR. UCENSC u WASHI ES971 OB <br />USG OF GUILDING <br />SFR <br />WORK DESCRIP710N <br />replace 40 gail gas hot water heater <br />NO. ' TYPE OF FIXTURC OR ITGM <br />Tpilet <br />�a1hWb <br />T Lavalary (wash t�asin) <br />Shower <br />� Kilchen sink S disposai <br />Dishwasher <br />T Cl�thes wa,hcr <br />_ Launtlry Iray <br />Sink (servicelbar/mop/etc.) <br />Backllow praventer <br />� Urinal <br />Drinkinc� Founlain <br />Floor drain <br />Grease trap <br />^ Roof drair�s <br />— oq�er <br />HGATSOURCG <br />_Electric �Gas_other <br />CONTRACT PRICG OF WORK <br />750.00 <br />NO, � TYP[ OF FlXTURG OR ITEM <br />A/C — air hand6ng unds <br />Forcetl a�r systems <br />Gas piping <br />Walar heater <br />Gas fireplece <br />Gasranga <br />Clothes dryer <br />Rangehood <br />Gahaust tan <br />Heatpump <br />Unit heater <br />BoilCr <br />Relnyerahon <br />Wootlslove <br />Other <br />CITV OF EVERET7 LOCnL SALES TAX COOE IS J705 <br />I hereby cenli(y that I have read antl examineA Ihis appGcation antl know the same lo he Uue and co��ed. All provisions of laws and <br />ortlinaces governing lhis type o�work will te compiied vnth wiiether sDedfed herein or not. The granting of a permit does not presume <br />te yive auihoriry to violste or cancel ine provision of any other state or Iocai law requlating construdion or the pertormance of <br />construclion. That i am authorized by the owner of this property to Fertorm the work for wn�ch appiication �s made and I comply w�th the <br />State Contractors Law 1827 RCW and 2�36200 WAC. �y <br />� �___.___'_ `�/�/ /(.�)(% <br />,-y-- — ---- <br />