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FERMIT APPLICATIUN <br /> CITY OF 6VERETT PERMIT SERVICES <br /> 3200 CEDAR STR[[T, EVERET?, WA 98201 <br /> 425-257-8810—FAX 425•257-p(i57—www.everetlwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TN(I.D,# PERMIT <br /> 2216 100th St SE 28052000202300 I �Q-� G'C� ' �� <br /> LEGA LOi N0. BLOCK TRACT <br /> OESC <br /> UWNER ADORE88 /ZI HO <br /> Michaot Colo 2216 100th ST SE Everett 425-337-2219 <br /> TENANT NeMF GONTAGT FON PEqMIT YHUNE <br /> IMelissa Croda, 360•945-2787 <br /> CONTRACTOR 1IIIESCO AODRESS CT'21P AHONE <br /> ��� f� 2800 Thorndyke SEATTLE 2os-3�a-ssa9 <br /> CONTR.LICENBE+�wASHIESJ7�OB <br /> USE OF 9UILDING HEAT SOURCE CONTRACT pRICE OF WORK <br /> S�R _ _E�ectnc ✓ Ges_Other I 950.00 <br /> WORK�6SCRIPTION <br /> Heplace gas b gas 50 gallon water heatQr <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM NO. 7YPE OF FU(TURf.OR ITEM <br /> _ 7ollel NC—Air hnnrllmp unile <br /> _ BaUilub T Forced air sy5tems <br /> __ Lavatory(wash basin) Gas piping <br /> _ Shower � Waler heater <br /> Kiir.hqn sink d dispnsai Gas fireplaca <br /> � Dishwnsher Gasrengc <br /> � Clothes washer � Cbthes Cry¢r <br /> _ Lnundry iray _ Range hoal <br /> Sink(service/Car/mop/elc.) [ahauat fen <br /> � Backllow preventer � Heat pump <br /> ����� � Unit hcater <br /> Dnnking Founfoln polr.r <br /> _ Floor drain RMrigerehon <br /> Grease irnp Woudstove <br /> � Roof tlrainp Othe� <br /> � Other — <br /> CITY Of EVERETT LOCAL 8ALE6 TAX CODB IB]106 <br /> I herehy centiry lhat I have rend and examined thls apphceticn an0 know the same to�e truo end cerreU. Atl provisions allews nnd <br /> ordmnrns povemm�lhis rypr ol wnrk will hn cmm�l�cA vnfh whwlhnr npnr.ffiM M±rrin oi nM.Thn prenllnp M�pormil rina�nnl prnaumn <br /> to yrve authurity to vinlatx or cancel Ihe pmdsi�n vf any otl,e�clate or local law regWating wnstrucllon or the peAormnnce oi <br /> amslruction. !hM I em suthor'¢eA by the ewner ol lhi9 property tn perform Ihe work kr whkh epPlica�ion is mede end I romply wilh the <br /> Stalc Contradors Law f0 27 RCW and 296.200 WAC. <br /> i���� %s G <br /> Signature of OwnedConlrncror/ANhonr.ed gent D e <br />