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i <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8870– FAX 425-257-8857–www.everettwa,org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �a_ 3� ��j <br /> SITE ADDRESS <br /> PARCEL TAX I.D.iF PERMIT# <br /> 3407 SNOHOMISH AVE ooa3a23o3o�aoo L{ ,� -UC <br /> LEGAL LOT NO. BLOCK TRACT <br /> DESC <br /> OWNER ADDRESS pN/ZIP PHONE <br /> DOUG EVERLEY&CLAREPJCE CORCORAN 3407 SNOHOMISH AVE Everetl 98201 206-619-6346 <br /> TENPNTNAME <br /> CONTACT FOR PERMIT PHONE <br /> Jennifer Burgess 206-774-9499 _ <br /> CONTRACTOR AD�RESS dTV21P PHONE <br /> WESCO 3909 196 St SW� Lynnwoad 9d036 g00-396-4663 <br /> CONTR.LICENSE#W AS H I E S 97 I O B <br /> USE OF BUILDING H6AT SOURCE CONTRACT PRICE OF WORK <br /> Residential I _e���t��� �Gas_Other $9226.00 <br /> WORK DESCRIPTION <br /> Install gas boiler with 30' of gas plping <br /> — PLUMBING MECHANICAL <br /> NO. TVPE OF FIXTURE OR ITEM NO. NPE OF FI%TURE OR ITEM <br /> Toilei _ A/C-air hantlling units <br /> Bathtub _ Po�ced air systems <br /> Lavatory (wash basin) � Gas piping <br /> Shower _ Water heater <br /> Kitclien sink S disposal _ Gas fireplace <br /> Dishwasher _ Gas range <br /> Clothes washei _ Clothes dryer <br /> Laundry tray _ Range hood <br /> Sink (service/bar/mop/etcJ _ Exhaustfan <br /> Backflov+preventer _ Heatpump <br /> Urinal _ Unit heater <br /> Dnnking Fountdi❑ i Boiler <br /> Floor drain _ RefrigeraLon <br /> Grease-rap _ Woodstove <br /> Roof drains _ Oiher <br /> Other — - <br /> CIIY OF EVERETT IOCAL SALES TN(CODE IS 3105 <br /> I hereby ceritdy ihat I have read and esamined this application antl hnow ihe same to be irue and correcL All prwisions of lavrs and <br /> ordmaces goveming this type of work Nnll be complied H�th whether speafied herein or not.The grantmg nt a permit does not presume <br /> to give authorrty to violate or tancel the provision of any other state or local law regulating wnstmction or the pertormance oi <br /> construction. That I am authorized by Uie o�mer of this property to perform ihe work for whkh apphca[ion Is matle and I comply with the <br /> 5tate Contracrors law 18 27 RCW and 296 200 WACy r• na gn <br /> Jennifer Bur�ess laln..�nxlnl'ur,gitolG�Nlll.VLSI�IFA'llau=ltY.11�:d9 <br /> I I I0.•11��+n.Jl.�a,rllem�,ai•nm�:r.;m ous <br /> SignaWreofOwner/Contracto Authon_atl� n �� Date <br />