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SITE ADDRESS <br />2528 19th St <br />LEGAL LOT NO. <br />oesc. LOT 14 <br />Kevin Hagen <br />TENANTNAME <br />CONTRACTOR \A/ESCO <br />VY <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� N� <br />PARCEL TAX I.D. IF PERMIT M <br />00553100101400 G(D � 2 v�Z <br />BLOCI( TRACT <br />BLK o01 D-oo - READY LAND CO S 1 ST ADD <br />AUDRESS CITV2IP PNONE <br />2528 19th St Everett se2ot 425-232-4860 <br />CONTACT FOR PERMIi PHONE <br />Melissa Croda 360-945-2787 <br />�oNTR. u�ENSE � WASHIES971 OB <br />u�t UF 6UILDING <br />SFR <br />WORK DESCRIPTION <br />ADDRESS � CITY2IP PHONE <br />2800 Thorndyke SEATTLE 206-378-6649 <br />HEATSOURCE <br />_ Electric ✓ Gas _ Other <br />Replace gas to gas wall turnace Empire FAW55 <br />NO. I 7Yf'E�OF FIXTURE OR ITEM <br />iouet <br />Bathlub <br />_ Lavatory (wash basin) <br />Shvv�er <br />Kilchen sink & disposal <br />Dishwasher <br />Cbthes washer <br />Laundry lray <br />_ Sink (service/badmop/etc.) <br />�ackflow provenlar <br />Unnal <br />Drinking Fountain <br />Floor drain <br />Grease lrap <br />Roof drains <br />_ Olher <br />CONTRACT ARICE OF WORK <br />3653.00 <br />N0. I TYpE OF Fl7CTURE OR ITEM <br />'v� — av nanaung unns <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas firaplace <br />Gas range <br />Clathes dryer <br />Rangohood <br />Exhauslfan <br />Heat pump <br />! Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby cenlify that I hava read and examined this applicat�on and know the same to be true and covect. All provisions of laws and <br />ordinaces poveming this rype of work will be complied with whether specifiod harein or not The granting of a permit does not presume <br />to give authonry to violate or cancel the provi,ion of any other state or local law reguiating construction or Ihe pedortnance of <br />construction. That I om aulhorized by ihe owner of th'�; property to peKorm the work for which application is made and I comply with the <br />State Conlractors Law 1827 RCW and 296.200 WAC. <br />