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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 />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />PARCEL TAX I.D. # <br />PERMIT # <br />716 41st Place <br />00801900001300 <br />z <br />I rn�[�L(� <br />ol <br />LEGAL LOT NO. <br />BLOCK TRACT <br />DESC. LOT 13 <br />BLK 000 D-00 SILVERHAWK AT FOREST PARK <br />OWNER <br />ADDRESS CITYIZIP PHONE <br />Kerry Adams <br />716 41 st PI Everett 98201 425-418-3361 <br />TENANT NAME <br />CONTACT FOR PERMIT PHONE <br />(Melissa Croda 360-945-2787 <br />CONTRACTOR WESCO <br />G l.i <br />ADDRESS CITV2IP. PHONE <br />2800 Thorndyke SEATTLE 206-378-6649 <br />CONTR. LICENSE 0 <br />_ WASHIES97106 <br />USE OF BUILDING <br />HEAT SOURCE <br />CONTRACT PRICE OF WORK <br />SFR <br />Electric ✓ Gas <br />_ —Other <br />3653.00 <br />WORK DESCRIPTION <br />Replace Gas to Gas Bryant 70 BTU Furnace model # 315AAV36070 <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />NO. TYPE OF FIXTURE OR REM <br />_ <br />Toilet <br />Bathtub <br />A/C — airhandlingunits <br />Lavatory (wash basin) <br />Forced air systems <br />Gas piping <br />Shower <br />_ <br />Water heater <br />— <br />Kitchen sink 8 disposal <br />Gas fireplace <br />_ <br />l <br />Gas range <br />Clothes <br />Cloothesthes washer <br />Clothes dryer <br />Laundry tray <br />_ <br />Range hood <br />Sink (serflow <br />_ <br />Exhaust fan <br />— <br />roventmopletc.) <br />w proventer <br />_ <br />Heat pump <br />Urinal <br />Urinal <br />_ <br />Unit heaterBoiler <br />Drinking Fountain <br />__ <br />_ <br />Floor drain <br />Refrigeration <br />_ <br />Grease trap <br />Woodstove <br />_ <br />Roof drains <br />Other <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby cerilify that I have read <br />and examined this application and know the same to be true and correct. All provisions of laws and <br />ordinates governing this type of <br />work will be complied with whether specified herein or not. The granting of a permit does not <br />presume <br />to give authority to violate or cancel the provision of any other state or local law regulating construction or the performance of <br />construction. That I am authorized by the owner of this property to perform the work for which application Is made and I comply with the <br />WAC. <br />WCqtr4Ra296.200 <br />orized gentDate <br />