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SITE ADDRESS <br />1626 SCENIC DR <br />LEGAL LOT NO. <br />D[SC. <br />ROSS WALTERS <br />TENANTNAME <br />CONTRACTOR �A/ESCO <br />v� <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — wv✓w.everethva.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />BLOCK <br />�o"TR. "`E"SE " W AS H i ES97'i OB <br />USE OF BUILDING <br />residential <br />WORI< DESCRIPTION <br />PARCEL TAX I.D. # <br />00393900202502 <br />TRACT <br />same as site address <br />PERMIT # <br />�� <br />98201 425-423-9577 <br />ICONTACT FOR PERMIT PHONE <br />Cyndal/Naida 360-945-2787 <br />ADDRE55 dTV2�P PHONE <br />2800 Thorndyke SEATTLE 800-398-4663 <br />HEATSOURCE <br />_ Electric � Gas _ Olher <br />REPLACE GAS 40 GALLON HOT WATER HEATER <br />NO. I TYPE OF FI%TURE OR ITEM <br />� <br />Toilet <br />�athtub <br />Lavatory (�^rash basin) <br />Shower <br />Kitchen sink E disposal <br />Dishwasher <br />C!othes washer <br />Laundry tray <br />Sink (service/bar/mop/etc.) <br />Bach!low preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Greasetrap <br />Roof drains <br />Olher <br />CONTRACT PRIGt t�t vv�+rtn <br />750.00 <br />NO. I TYFE OF FIXTURE OR ITEM <br />� <br />A/G — air handling units <br />Forced air =�stems <br />Gas piping <br />Water neater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Evhaustfan <br />Heat pump <br />Unit heater <br />Boiler <br />Relrigeretion <br />WootlsU�ve <br />CITY OF EVERETT IOCAL SALES TAX CODE IS 3105 <br />I hereby cerRify that I have read and examined this application and knowthe same to be true and correct. All prwisions of laws and <br />ordinaces goveming this lype of work vmll be complied v,�th whether specified herein o� not. The granting of a permit does not presume <br />to give authority to violate or cancel the pwvision of any other state or local law regulating oonstruction or the pedormancz ot <br />construction. That I am authorized by the owner ot this property to perform the v+ork for whkh application is made and I cromply wM1h Ihe <br />Stale Contractors Law �827 RCW antl 296200 WAC_ <br />- - 3/15/12 <br />Sianature of OwneqContractor/Authorizetl Agent ate <br />