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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREE7, EVERETf, Wq 98201 <br />425-257-881 U— FAX 425-257-8857 — www.everettwa.org <br />APPUCATIONS ARE qGGEP7ED FROM 9 AM TO 4 PIYI <br />SITE ADDRESS <br />1514 50TH ST SE <br />LEGAt, LOT NO. <br />JEFF RUSSEL.L <br />CONTRqCTpR1A�ESCO <br />VV <br />oowrn uceNseK WASHIES971 OB <br />USE OF BUILDING <br />SFR <br />woRK oescRiPnoN <br />INSTALL 3 TON A/C <br />N0. I TYVE OF FlXTURE OR ITEAq <br />Toilet <br />eathtub <br />Levetory (wash basin) <br />Shnwer <br />IGtchen sink & disposal <br />Dishwasher <br />Clothes washar <br />Laundry Vay <br />Sink (service/bar/mopletc.) <br />Backtlow preventer <br />Urinal <br />Drinking Fountsin <br />Floor drain <br />�rease vap <br />Raoi drains <br />Other <br />PARCEL TAX I.D. * <br />00386300001700 <br />1514 50TH ST SE <br />COM'ACT FOR PERMIT <br />Naida Khan <br />ADDRESS <br />2800 Thorndyke <br />HEAT90URCE <br />� Eleqric � Gas _ Other <br />Everee 9E3zos 425-218-9914 <br />PHONE <br />360-945,2787 <br />CITV21p PHONE <br />SEATTLE 800-398-4663 <br />cOnix�CT PRICE OF WORK <br />. 1 � .� � <br />NO• I TYPE OF FIXiU(tE OR ITEM <br />A/C —air handling unNs <br />Foroed air system9 <br />Ga9 piping <br />Weter hOatC� <br />Gas fireplace <br />Gas range <br />C�cuies dryer <br />Renge hood <br />Ezhaust fen <br />Hcat pump <br />Unit heater <br />Boiler <br />RPfiparallon <br />Woodstove <br />Other <br />CITY OF CYgRETT LOGAL SALES TAX CODE IS 3105 <br />I hereby eentity that I haue read and examinptl t�is applicetian and know the same to be true and wrted. Ail provisions of laws and <br />oMinaces goveming this type of work will be cpmDlied with vfir.thrr spedfed haroin or not. The granting of a perm@ does not prosume <br />to give authority to violate or rancel the provislon of any other state or local ia�.v regulating ��sVuction or the peAotmanee ot <br />construction. That I em authorized by the owner oi this property to perTortn the worlc for which application is made and I comply with the <br />State Conlra Law 1, .VU and 296,200 WAC. <br />' � �ignature o er/ n aCtor/Authonzed Agent �ate <br />