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F �RMIT APPLICATI�N <br /> CITY OF EVEF;ETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 n /�,(„�?j <br /> �r Z 425-257-8810- FAX 425-257-8857-www.everettwa.org �/, 1)(J�y <br /> �N <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DE31T 8 CREDIT CARDS ARE NOT ACCEPTED <br /> SITE ADDRESS PARCEL TAX I.D.# MIT# <br /> 99�oc 23rd Ave SE, Everett 98208 280517-003-031-00 ' � - <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. 9 1202-017-02 <br /> OWNER ADDRESS CITY2IP PHONE <br /> Alexander Reed Construction, Inc. PO Box 1465 Marysville 98270 (360) 657-1927 <br /> TENAN'[NAME I CONTACT FOR PERMIT PHONE . <br /> . ,:. Allen Campbe�l • . (360) 631=6�i2A,:;' � <br /> � . . . <br /> CONTRAC70R ADDRESS ,CITY2IP PHONE <br /> Alexander Reed Construction, Inc. PO Box 1465 MarySVille . 982'90 ('360)�657-1927 <br /> CONTR.LICENSE# � - �. � , -� � . <br /> AI.EXI�RC981 C6 <br /> USE OF BUILDING HEAT SOURCE I CONTRACT PRICE OF WORK <br /> Single Family Residence _Electric y�Gas_Other <br /> WORK DESCRIPTION <br /> New single family residence; 1660 SF living; 400 SF Garage, r/��� /`"" <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> � Toilet A/C—air handling units <br /> � Bathlub � Forcedairsystems <br /> �_ Lavatory(wash basin) 4 Gas piping <br /> �_ Shower 1 Water heater <br /> � Kitchen sink 8 disposal _L Gas Tireplace <br /> �_ Dishwasher � Gas range <br /> � Clothes washer � Clothes dryer <br /> �_ Laundry tray _L Range hood <br /> _ Sink(service/bar/mop/etc.) _,i Exhaustfan <br /> _ Backflow preventer Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain 9oiler <br /> _ Floordrain Refrigeration <br /> Grease lrap Woodstove <br /> Roof drains Olher <br /> Olher — <br /> CITY OF EVERETT LOCAL SALES 7AX CODE IS 3105 <br /> I hereby ceritify that I have read and examined this application and kncw the same to be true and correct. All provisions of laws and <br /> ordinaces governing this type of work will be complied with whether specified herein or not.The granlina of a permit does not presume <br /> to give authority to violate or cancel lhe provision of any other state or local law regulating construclion or the performance of <br /> construction.That I am authorized by the owner of this property to perfo;m the work for which application is made and I comply with the <br /> State Contractors L�w 18.27 W anrJ 296200 WAC. <br /> �� ,.�� �. �A �/z/�- <br /> Sgnature oi wnedContractodAuthonzed Agent �ro �� <br /> 1 •% <br /> ��172 S 9�Z� <br />