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SI7E ADDRESS <br />LOT NO. <br />PERMIT APPLICATION <br />CITY OF EVERETT i�ERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />PARCEL TAX I.D. / <br />00410200008400 <br />BLOCK TRAC- <br />PERMR R <br />►M04G �0'Ge�C� <br />nP PMONE <br />Sandy Macham 5109 Wilmington Ave 98203 425-258-5998 <br />TENANTNAME I CONTACTNAME PHOME <br />CONTRACTOR <br />Day 8 Yite <br />$��NEJJS-646Q <br />PROPOSED USE OF BUILDING <br />House <br />CONTRACTPWCEOFWORK g1500 <br />ADDRE53 <br />16614 13th Ave Id <br />Building <br />PERMR Combination <br />TYPE Dertalition <br />Sprinkler <br />Mechanicel <br />Sign <br />LP <br />98037 <br />CONTR. LICENSE / <br />DAYNIPH044CM <br />D Ad07Non I HEAT EOURCE <br />�( ) Allaratlon � Ekdrlc <br />g� � <br />RepairlMeint. OMer <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 1105 <br />WORKDESCRIPTION Convert Elec. Hot water tank t0 �l�('i tank <br />NO. � TYPE OF FlXTURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />� BACKFLOW PREVENTER <br />SINK (SERVICEBAR/MOPIETC.) <br />OTHER <br />:[•]I <br />TYPE OF FURURE OR REM <br />A/C-A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEATPUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HO00 <br />WATER HEATER <br />METALFIREPLAC��STOVE <br />FIKEPIACE INSERT <br />GAS FIREPLNCE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />I HEREBY CERfTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AN� KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL Bc COMPLI'cD WIT4i NRiETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT �OES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REC�ULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTF:ORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH TNE STATE <br />CONIRNCTORS LAW 1:27 RCW AND 296200 WAC. <br />� /�r �i��,/�, <br />