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� � <br />NERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.averettwa.org <br />SITE ADDRESS vJ ' ! . -. • <br />5101-vU' ' Qn <br />LOT NO. <br />Michael Wallace <br />TENANiNAME <br />CONTRACTOR 1AIESCO <br />YV <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />OLOCK <br />- PARCEL TAX I.D. N <br />00410200008200 <br />TRACT <br />CONTR. LICENSE /`A IAS H I ES.�J% 1 OB <br />YY <br />USE OF BUILDING <br />SFR <br />WORK DESCRIP710N <br />5101 Willington Ave <br />CON7ACT FOR AERMIT <br />Melissa Croda <br />AODRESS <br />2800 Thorndyke <br />HEA7SOURCE <br />_ Electric ✓ Gas _ Olher <br />�l% "' � s ''��J <br />PERMIT N <br />,�•,ulr-c9`� <br />Everett 98203 425-252-8908 <br />PNONE <br />360-945-2787 <br />C�TY/LP PMONE <br />SEATTLE 2a6-378-6649 <br />CONTRACT PRICE OF WORK <br />9754.00 <br />Replace Gas to Gas Bryant 90 BTU Fumace, Gas Fireplace Insert, 3 Ton Bryant Heat <br />Pump, 40' gas piping to furnace and 10' gas piping to fireplace insert <br />NO. I TYPE OF FIKTURE OR �7EM <br />Bathtub <br />Lavatory (wash basin) <br />Showor <br />Kifchen sink 8 disposal <br />Distnvasher <br />Cblhes washer <br />_ Laundry Iray <br />_ Sink (service/barlmop/etc.) <br />Backllow preventer <br />Unnal <br />_ Drinking Fountaln <br />Floor drain <br />Grease trap <br />Roof drains <br />Olher <br />NO. I TYPE OF FIIRURE OR ITEM <br />wc - air hantlling units <br />� Forced eir sysrems <br />� Gas piping <br />Water heater <br />i Gas firaplace <br />Gas range <br />_ Clothes dryor <br />Range hood <br />[Mhaust fan <br />� Heat pump <br />Unit hoater <br />Boiler <br />Retrigeration <br />Wootlstove <br />_ Other <br />CITY OF EVERETT LOCAL SALES TA7( COUE IS 1/05 <br />I hereby coritify that I havo read and examined this �ppiication and know lhe samo to be true and conoct. All provision� of laws and <br />ordinaces governing this typo of work will be compliod with whelher spacified herein or nol. The granting of a pertnit does not presume <br />lo give authonry to violate or cancol lhe provislon of eny olher state or local law regulating construction or the peAortnance of <br />consiruction. That I am authorized by the ownei of this property to pedorm the work for which application is made and I comply with the <br />State CoNractors Law 1827 RCW and 296200 WqC. <br />iv/-�Y/6 <br />