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� cRMIT APPLICATIvN , 041 <br /> CITY OF EVERETT PERMIT SERVICES I,� ��� <br /> 3200 CEDAR STREET, EVERETT,WA 98201 n������ <br /> �`,�q 425-257-8810- FAX 425-257-8857-www.everettwa.org f'� <br /> 0 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBII'&CREDIT CARDS ARE NOT ACCEPTED <br /> SITE��=��RESS PARCEL TAX I.D.# P MIT# <br /> _9�iec 23rd Ave SE, E�erett 98208 280517-003-031-00 <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. 5 <br /> OWNER ADDRESS CITYIZIP PHONE <br /> Alexander Reed Construction, Inc. PO Bor, 1465 Marysville, 98270 (360) 657-1927 <br /> TENANT NAME ' I CONTACT FOR PERMIi PHONE <br /> . , Allen Campbell (360) 631-6524'•'' �, <br /> CONTRACTOR qDDRESS CITYiZIP pHONE <br /> Alexander Reed Construction, Inc. YO Box 1465 Mar sville q8270 ,(360) 657-1927 <br /> CONTR.LICENSE# • �� ' � � • <br /> AT"Xn,�2C981 C6 <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> Single Family Residence I _Electric XXGas_Other I <br /> WORK DESCRIPTION <br /> [Vew single family residence; 1680 SF living space; 400 SF Garage � <br /> (.bU�CJ N� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR�TEM NG. TYPE OF FIXTURE OR ITEM <br /> �_ Toilet A/C—ai�hand�ing unit� <br /> _� Bathlub �_ Forced air system s <br /> 3 Lavalor�(wash basin) _g_ Gas piping <br /> �_ Shower _]__ Waler heater <br /> � Kitchen sink&disposal .� Gas fireplace <br /> � Dishwasher � Gas range <br /> _� Clothes washer �_ Clothes dryer <br /> �_ Laundry tray � Range hood <br /> _ Sink�service/barlmo,/?tc.) �_ Exhaust fan <br /> __ BackFlow preventer Heat pump <br /> Urinal Unif heator <br /> Drinking Fountain Boiler <br /> _ Floor drain Refrigeration <br /> Grease traf Wood� a <br /> Roof drains Othei <br /> Other — <br /> � <br /> CITY OF EVERETT LOCAL SALES 7AX CODE IS 3105 <br /> I hereby ceritify tYial I have read and examined ihis application and know the same to ba true and correct. All provisions of laws and <br /> ordinaces governinr�this type of work will be complied with whether specified herein or not.The granting of a permit does not presume I <br /> to give authority to violate or caecel the provision of any oiher state or local law regwating construction or the performance of <br /> construction.Th�:I ain authorizeG by the owner of this property to perform the work for which application is made and I comply with lhe <br /> State Contracrors Lavri827 RCW and 296. 00 WACn. <br /> c'�%�„ / � Cf,vCiC�/C� �lZ Q� <br /> �1,1�1,(�: <br /> Signature of 0 ewn ilConlraclon uthorized Agent Date ("j � <br /> :�J <br />