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( c <br /> PERMIT APPLICATION 5 9� <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425257-8810-FAX 425-257-8857-www.everettwa.org <br /> APPUCATIONS ARE ACCEPTED FROM 8 AM TO�PM <br /> SITE ADDRESS PARCEL TAX I.D.N PERMIT• <br /> 1532 Wetmore Ave o0436o3oto77o2 -�� -�, , <br /> LEGAL lOTNO. BLOCK TRACi <br /> DESC. 17-18 8 FRAC LOT 19 gLK 301 D-02 EVERETT DIV L PLAT <br /> OYVNER AODRESS CITYIZIP PMONE <br /> Steve Harding 1532 Wetmore Ave e�eren sszoi 425-551-3100 <br /> TENIINT NAME CONTACT FOR PERMIT PHONE <br /> IMe�issa Croda 360-945-2787 <br /> CONTMGTOR \A/ESCO AD'/RE38 CT'ILP PHONE <br /> �� 21t00 Thorndyke SEATTLE 206-378-6649 <br /> °o"n`.u�E"$E.WASHIES971 OB <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> SFR _E�ectric �Gas_Other Q�62.QQ <br /> WORK DESCRIP'T10N <br /> Replace 110 BTU Gas Fumace <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet NC—air handling units <br /> Bathtub + Forced air systems <br /> Lavatory(wash basin) _ Gas piping <br /> Shower Water heater <br /> Kltchen sink&disposal _ Gas fireplace <br /> �ishwasher Gas range <br /> Clothes washer Clot�es dryer <br /> Laundry lray _ Range hood <br /> Sink(service/bar/mopletc.) _ Exheuet tan <br /> Backflow preventer _ Heal pump <br /> Urinel Unit heater <br /> Drinking Fountain _ Baler <br /> Floor drain Reirigeration <br /> Grease trap _ Woodslove <br /> Roof drains a� <br /> Other <br /> CITY OF EVERETT LOCAL SALES TA%CODE 18�106 <br /> I hereby ceritity thal I have read and ezamined lhis application antl know the same to be hue and corred. NI provisions of lews end <br /> ordinaces goveming lhis type of work will be complied vnth whether specified herein or not.The gre�ting of a permit dces not presume <br /> to give authonry to violate or cancei the provision of any olher state or local law regula6ng construct�m or the performance of <br /> conslrudion.That I am authorized by the ovmer of lhis property to pertorm the work for which appliwtion is mede and I comply with Me <br /> Stale Conhactors Law 18.27 RCW and 296200 WAC. <br /> � .UOieyFrli �/'`�/7 <br /> Signature o( erl onlradodAuMonzeC gent ate <br />