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SITE ADDRESS <br />5025 Wilmin <br />LEGAL LOTNO. <br />oEsc. LOT 80 <br />OWNER <br />Ralph Fisher <br />7ENANTNAME <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />Ave <br />CONTRACTOR \AIESCO <br />VV <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �� a�—O <br />PARCEL TAX I.O. N <br />00410200008000 <br />BLOCK TRACT <br />BLK o0o D-oo - CLAREMONT HEIGHTS <br />CONTR. LICENSE N� �/AS H I ES971 OB <br />VV <br />USE OF BUILDING <br />SFR <br />WORK DESCRIPTION <br />5025 Willmington Ave <br />CONTACT FOR PERMIT <br />Melissa Croda <br />AOORESS <br />2800 Thorndyke <br />HEATSOURCE <br />Electric � Gas Other <br />PERMIT N ,/ <br />d%t ��� - i � <br />Everett 98203 425-252-1708 <br />PHONE <br />360-945-2787 <br />CITYRIP PFIONE <br />SEATTLE 206-378-6649 <br />CONTRACT PRICE OF WORK <br />. :- �� <br />Replace gas furnace, electric to gas 50 gallon water heater, gas piping - 5' to water heater <br />and 10' to furnace, add 12' to existing hot and cold water lines <br />NO. I TYPE OF FI%TURE OR ITEM <br />Toilot <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kilchon sink & disposal <br />Dishwasher <br />Clolhes washcr <br />Laundry lroy <br />Sink (sorvice/bar/mop/otc.) <br />Backflow preventor <br />Unnal <br />Drinking FounWin <br />Floor drain <br />Greaso trap <br />Roo( drains <br />OlhOf � Z� nJJ b enisiing hot nnd cold wator linca <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />AIC — air handling unils <br />Forca�+ air systoms <br />Gas piping <br />Water heator <br />Gas firaplace <br />Gas range <br />Clothes dryer <br />Ranc�o hood <br />Ezhaust(an <br />Hoat pump <br />Unil heater <br />Boiler <br />Refrigeration <br />Woodslove <br />Other <br />CITY OF EVERETT LOCAL SALES TA% CODE IS 1105 <br />I horoby contify Ihat 1 have read and ezamined this app�icalion and know the samo lo be truo and correct. All pro� isions of laws and <br />ordin�ces governing this type of work will bo compliod wdh whother speci�ed herein or not. Tho c�ranting of a parmit does nol prosume <br />to givo nuthonty to violato or cancol the provision of any othor state or loca� law reguialing construdion or tho pertormance of <br />conshuction. Thal I am aidhorizad by lhe owner of this proporty lo pertorm the work for which application is made and I comply wilh the <br />Stale Contr�ctors Law 18.27 RCW and 29�.200 W�C. <br />