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r <br /> F ��2MIT APPLICATIt�N <br /> CITY OF EVERETT PERMIT SERVICES � �D�p��o <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> /1�"� 425-257-8810-FAX 425-257-8857-www.everettwa.org �U��'4 <br /> L�' /�� <br /> , APPLICATIONS ARE ACCEPTED FROM d AM TO 4 PM -DEBIT&CREDIT CARDS ARE NOT ACCEPTED <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 99�C 23rd Ave SE, Ewerett 98298 280517-003-031-00 I ��j -� <br /> LEGA LOT NO. BLOCK TRACT <br /> DESC. Z 1202-017-02 <br /> OWNER ADDRESS CITY2IP PHONE <br /> Alexander Reed ;:�nstruction, Ea�. FO Box 1465 Marysville 98270 (360) 657-1927 <br /> TE�ANT NAME � CONTACT FOR PERMIT PHONE • <br /> ' Allen Campbell (•360) 631-6524 ' � <br /> CONTRACTOR ADDRESS CITY2IP PHONE <br /> Alexander Reed Construction, Inc. pp gox 1465 MaxysVille .98270 (96b) 657-1927 <br /> C6NTR.UCENSE# .� . • <br /> ALEXARC981C6 <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> Single Family Residence _Electric � Gas_Other <br /> WORK DESCRIPTION � /C/ <br /> /J <br /> New single family residence; 2092 2-story. Main level 1145 SF; Second level 946 SF; <br /> Garage 697 SF. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM Na. TYpE OF FIXTURE OR ITEM <br /> 3 Toilet A!C-airhandlingunits <br /> � Bathtub _� F�rced air systems <br /> 4_ Lavalory(wash basin) �_ Gas piping <br /> 1 Shower _L Waterheater <br /> L_ Kitchen sink&disposai 1 Gas fireplace <br /> L Dishwasher �_ Gasrange <br /> ]_ Clothes washer � Cbthes dryer <br /> _ Laundry tray � Range hood <br /> _ Sink(service/bar/mop/etc.) � Exhaustfan <br /> _ Elackflow preventer Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain Boiler <br /> _ Floor drain Refrigeralien <br /> Grease trap Woodstove <br /> Root drains Other <br /> Other <br /> CITY OF EVERETT LOCAL SALES lAX CODE IS 3105 <br /> I hereby ceriti(y that I have read and examined this applicalion and know lhe same to be true and cortect. All provisions of laws and <br /> ordinaces governing this type of work will be complied with whether speciTied herein or not.The granting of a permit does not presume <br /> to give authority to violate or cancel the provision of any other state or local law regulating consWction or the perfortnance of <br /> construction.That I am authorized by the owner of lhis property to perfo�m the work for whic,�application is made and I comply with the <br /> Stat Contrectors Law 18.27 W and 296.200 WAC. <br /> ` � � , �,. ''_ ��2 QS <br /> Signature of Owr�edCo ract dAuthorized Ay=nt Date 1 <br /> � � <br />