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oa�zoizott os:zs r•as <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 />SITE ADDRESS <br />12303 21sL Ave SE <br />NO. <br />DESC. <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. # <br />OOB62900000800 <br />TRACT OR SUBOINSION It <br />� 000zi000s <br />q �a0--�� <br />PERMff # <br />Diego Erdozain 12303 21st Ave SE Everett 98208 (425)501-1961 <br />TENANTNAME CONTACTFORPERMfT PHONE 2G6-376-6630 <br />I Christiana Flajole E�A�� cElajole�bo6shea[:ng.can <br />Y V I� 1 RI�Y � Vf� <br />Bob's Heating and A/C <br />CONTR.UCENSE# $OBSHHA9790B <br />USE OF BUILDING <br />WORK DESCRIP710N <br />wuvrtwo <br />13633 NE 126th PL <br />�I� Suite 350 <br />I — HEATSOURCE <br />Electric _ Gas _ Other <br />Like for like water heater replacement <br />NO. I TYPE OF FIXTURE OR rTEM <br />Toilet <br />BathtuG <br />Lavatory (Nash basin) <br />Shower <br />Kilchen sink & di�asat <br />Dishwasher <br />Clolhes washer <br />Waler heater <br />Sink (servicelbar/mop/otc.) <br />Backflow preventer <br />Urinal <br />Dnnking Fountain <br />Floor drain <br />Grease trap <br />Roof dralns <br />Olher <br />rnvnc <br />and 800-840-3346 <br />CONTRACT PRICE OF WORK <br />$850.00 <br />�p, I TYPE OF FIXTURE OR REM <br />A/C - air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas flreplace <br />Gas range <br />Clothes dryer <br />Range hood <br />[�ausl far <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeralion <br />Wadslove <br />Other <br />CfTY OF EVERETT LOCAL SALES 7AX CODE IS 3105 <br />I hereby certiy that I have read and eraminod this application and know the same to bo truo and cortect. All provisions of laws and <br />ordinances goveming this type of work will be complied with whether spe�ed herein or not. Tho granting of a pertnit does not presume <br />lo give authonty to violate or cancel ihe provision of any othes state or local law regulating construdion or the per(ortnance of <br />wnstruction. That I am authorized by the owner oi this property to perfortn the work for which application is made and 1 tomply with ihe <br />Statr.�CoNra4tors �aw,18.,27 RCW and 296.200 WAC. <br />