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t. 'ERMIT APPLICAI'.JN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 55 7� <br /> 425-257-8810—FAX 425-257-8857—www.everettwa.org <br /> �� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ? �a-�-07 <br /> SRE ADDRESS PARCEL TAX I.D.p <br /> 3612 25th Street PE�IT# <br /> 00516658101602 M� U"a--o O <br /> LEGA LOTNO. BLOCK TRACT <br /> oesc. LOTS 16& 17 BLK 581 D-02 MITCHELL V1ND & IMP CO S 1 ST ADD - <br /> OWNER ADDRESS CRY/ZIP pHONE <br /> Tom McGlinchy 3612 25th Street Everetf 98201 425-334-0885 <br /> TENANTNAME CONTpCTFORPERMR <br /> PHONE <br /> Melissa Croda 360-945-2787 <br /> CONTRACTOR ADDRESS <br /> WESCO � � CITY2IP PHONE <br /> CONTR.LICENSEN �u�.�� ThQrndyke SEATTLE 206-378-6649 <br /> WASHIES971 OB <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> SFR _e,e�m� ✓ Gas Other <br /> — 750.00 <br /> WORK DESCRIPTION <br /> Replace gas to gas 40 gallon 40,000 btu water heater <br /> PLUMBING MECNANICAL II <br /> NO. TYPE OP FIXTURE OR ITEM NO. TYPE OF Fla'TURE OR I7EM <br /> Ballht b _ aC—air handling units <br /> _ Lavatory(wash basin) __ Forced air systems <br /> _ SFrower _ Gas piping <br /> _ Kitchen sink 8 dlsposal � W'ater heater <br /> Dishwasher _ Gas firep�ace <br /> Clothes washer Gas renge <br /> Laundry iray _ Ciolhes dryer <br /> _ Sink(service/bar/mop/etc.) — Range hood <br /> Backflow preventer Exhaust fan <br /> Urinal ._ Heat pump <br /> Drinking Fountain _ Unit heater <br /> Floor drain _ Boiler <br /> Grease lrap _ RefrigeraGon <br /> Roof drains _ Woodslove <br /> Other _ Olher <br /> CITY OF EVERETT LOCAL SALES TAJ(CODE IS 3705 <br /> I hereby ceritify thal I have read and examined this application and know the same Io be true and cortect. All provisions of laws and <br /> ordinaces governing this type of work will be compliAd with whelher specified hereln or not.The granting of a percnit does rwt presume <br /> I to give aulhority lo violale or cancel ihe provision of any other state or local law regulating construction or the peRormance of <br /> construclion.That I am authorized by the owner of this property;o perform the work for which application is made and I comply with the <br /> Slate Coniraclors Law 1827 RCW and 296.200 WAC. <br /> —��'.�.LG�cE' a/6/� <br /> Signature of OwnerlContractodAulhonzed Agenl Date <br />