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PERMIT APPLICATION �{y; '1 <br /> CITY OF EVERETT PERMIT SERVICES �" <br /> 3�00 CEDAR STREET, EVFRETT, WA 982G1 <br /> 425-257-8810 —FAX 425-257-8857 —www everetb,va.org <br /> APPLICATIONS ARE ACCEPTEO FROM 8 AM TO 4 PM <br /> SITE ADORFSS PARCEL TAX I.D.M P RMIT M <br /> 1023 100th St SW 28041300301400 _L��� ~ �� ��`"'_ <br /> Lf.GAL LO7N0. BIOCK TRACT <br /> OFSC. <br /> OWNEN ADDRESS CI / l PMONE <br /> Jack Dredhahl 1023 t00th St SW e�orenneaoa 425-355-1995 <br /> �ENANi NAME CONTAGi F�R PERMIT f HONF. <br /> Melissa Croda 360-945-2787 <br /> CONTRACTOR 1A/ESCO ��ORES9 CfTV21P CHONE <br /> VV 2g00 Thorndyke SEATT'LE 206-378-6649 <br /> `°"T"."`E"gE"WASHI ES971 OB <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> SFR — ,_Eia �ig ✓ Gas_ _Othor— 9rJ0.�� <br /> WORK DESCRIPTION <br /> Replece ges to gas 50 gellon 40,000 btu water heater <br /> PLUMBING MECHANICAL � <br /> NO. TYPE OF FIl(TURE OR ITEM NO. TYPE OF FIXTURE OR I7F.M <br /> Tailot — -- AIC-eir handbng unils <br /> Bathtub Forced air systoms <br /> -- Levatory(wash hasinl _____ Ges p�p�ng <br /> Shewor Wator heatnr <br /> I Kllchon sink 8 disposal G�5 freplacn <br /> Dishwashor �as nngo <br /> Golhvs washer Clolhns drya <br /> � l..n�ndry Iray Range hood <br /> � F�nk(semco�barlmopletr. 1 ____ [.hausl tan <br /> ; Hackllow provonlor . . Hoat pumo <br /> ' Urinal ._ U��it hoalor <br /> i Lrinkicg Founta�n Boiier <br /> Flnor diain __ Relrigeral��on <br /> ' Greaso trap _ Woodstove <br /> Roof dr;�ins __ Othar ____ _ <br /> -- — — <br /> Other - .-. ---- - ----. - <br /> . CITY OF EVERETT LOCAL SAIES TA7f CODE 19 3t05 <br /> I hereby coritny that I havo read and oKnminoA Ihis appiicntinn nnd know Iho snmo to bo Irue and correcL �II provlsions of Iew9 and <br /> u�Ainacos govu��iing Ihis lypo ul wo�h w�ll bo cumpiied wdh whelner spocllsA ho�ein oi nol. The grantlag ol a pPn��ii dces not presume <br /> In givo aut�onty to violalo o�canrol Iho proviswn cf eny other slata or local Inw rogulatmg conslruction o;;���o peAormanco of <br /> � conslrur,bon. That I nm euthorized by tno owner ol Ihis proporty to perlorm tho work(o�whicM1 npplicalion fs modo and I eomply wilh tho <br /> Sta!n Cont�aclors Lew 10 27 RCW and 29G.200 WAC. <br /> � /i`:�i;+:Y/.�' �/�`�/7 <br /> 5�9n�wre o wnor! onVFlctor uthonze Agonl ale <br />