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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 rEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — �wvw.everettwa.org <br />APPUCATIONS ARE ACCEF': ED FROM 8 AM TO 4 PM �- 1�— �� <br />SITE ADDRESS <br />10502 29TH AVE SE <br />LEGAL LOT NO. BLOCK <br />DESC. <br />ROBERT ANGLIN <br />TENANTNAME <br />CONTRACTOR WESCO <br />CONTR. LICENSE H WAS H I ES9% � OB <br />USE OF BUILDING <br />SFR <br />WORK DESCRIPTION <br />REPLACE GAS 80K BTU FURNACE <br />NO. I TYPE OF FIXTURE OR ITEId <br />Toilet <br />Bathtub <br />Lavatory (v�ash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sink (servicelbadmop/elc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />PARCEL TAX I.D. # <br />00852700004400 <br />TRACT <br />PERMIT # <br />m i��s-� � <br />SAME AS SITE AUDRESSS Everett 98201 425-316-9427 <br />CONTACT FOR PERMIT <br />Naida Khan <br />AD�RESS <br />2800 Thorndyke <br />HEATSOURCE <br />__ Electric � Gas_ Other <br />� <br />PHONE <br />360-945-2787 <br />qTY21P PHONE <br />SEATTLE 800-398-4663 <br />CONTRACT PRICE OF WORK <br />: : �� <br />TYPE OF FIXTURE OR ITEM <br />NC — aIr hantlling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas tireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />F�chaustfan <br />Heat pump <br />UnR heatar <br />Boiler <br />Refrigeration <br />Woodstwe <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify that I have read and examined this application and know the same to be true ano correcc All prwisions of laws and <br />ordinaces goveming this IVpe of werk will be complied with whether specified herein or not. The granting of a permit tloes not presume <br />to give authoriry to violate or cancel the provision of any other state or local law regulating construction or the pedormance of <br />construdion. That I am authorized by the owner oi this property to perform the Krork for whkh application is made and I comply with the <br />State Contractors Law 18.27 RCW antl 296.200 WAC. <br />_-. 5/12/11 <br />