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PERMIT APPLICATION <br />CiTY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-6857 — www.everettwa.org <br />APPLICATIANS ARE ACCEPTED FROM 8 AM TO 4 PM �Q �- f�—O� <br />81TE ADDRESS CARCEL TAX I.D. R PERM�T 1! <br />1022 56TH 5T SE 00443200001401 �lf)�7�r>-(��f <br />LOT NO. I BLOCX I TRACT <br />DESC.r I <br />OWNER <br />NIDA M�GUEL <br />TENANTNAME <br />CONTRACTOR WESCO <br />1022 56TH ST SE, Everett <br />corrtR.uceNses �/ASHIES97106 <br />USE OF BUILDING I <br />Residential <br />I 4�NTACT FOR PERMR <br />98203 <br />Naide Khan/Northwest Permit Inc <br />?�GkES9 CfTY/AP <br />425-422-1565 <br />PHONE <br />36U-945-2787 <br />PHONE <br />2800 Thorndyke Ave W seame, 98199 206-378-6649 <br />HEATSOURCE <br />Eledric X v^as _ 01her <br />CONTRACT PRICE OF WORK <br />$A412.42 <br />WORK DESCRIPTION <br />Replacing an Enviro gas fireplace insert - Model 51 FOCUS�X <br />NO. I TYPE OF FU(TURE OR ITHM <br />_ Toilel <br />__ Bathtub <br />Lavatory (wach bacin) <br />Shower <br />� K�chen sink & disposal <br />�is! washer <br />� Clothes washer <br />Laundry tray <br />Sink (service/badmop/etc.S <br />Backflaw preventer <br />_ Urinal <br />Drinking Fountsin <br />Floor drain <br />Gicase Vap <br />Roof drains <br />Uther <br />NO. � TYPE OF FlXTURE OR REN <br />A/C — alr hantlllnp units <br />_ Farced air systems <br />Gm piping <br />'— water heater <br />� Gas fireplace <br />Gas ronga <br />_ Clothes dryer <br />Range hood <br />_ ExhauFt f�n <br />Heat pump <br />Unit heater <br />Boiler <br />Refigeration <br />Woodstove <br />o�her <br />CITY OF EVERETT LOCAL SALES TA7( CODE IS 3105 <br />I hereby cerifiry that I have read and examined ihis apolica6on end know the same to be true and corred. AI� provis�ons of laws and <br />ordinaces goveminp thls type of work will be complied with whether speafied herein ar not. The grenting of a pertnit dces not presume <br />to give aulhoriry to violete or esncel the provision o( any other state or local law regulating wnsfrudion or the perfortnance of <br />construction. That I am aulhor¢ed by the owner of this property to perform the work for which application is made and I wmplV with the <br />State Co j ors Lew 18, RCW and 296.200 WAC. <br />�� ���I L-I � <br />