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PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,yyA 98201 <br /> 425-257-8810—FAX 425-257-8857—www.evereriwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 91TE ADDRE3S PARCEL TAX I.D.M <br /> 9902 24th Dr SE 00791400001300 PERMITN <br /> LEG LOiNO. BLOCK 7qqCr �� U �� <br /> OESC. <br /> N R AODRES9 CliY2�P PHONE <br /> Brad StUCky 9902 24th Dr SE Eve�ett se2oe 425-338-3799 <br /> TENANT NAME I CONTACT FOR PERMR <br /> PHONE <br /> Melissa CrodalNorthwast Pertnit Inc 360-945-2787 <br /> CONTRACTOR 1n�ESCO ADDRE38 CRY21P PHONE <br /> vY <br /> CONTR,LICENBEY WASHIES971 OB 2800 Thorndyke Ave W soatna,98199 20�-378-6649 <br /> U8E OF BUILDM6 HEAT 90URCE CONTRACT PRICE OF WORK <br /> _Elactric x oes otnar I $5,653 00 <br /> WORK OESCRIPTION <br /> Replace Bryant gas to gas 60K BTU furnace, model #352AAV36060 <br /> and gas water heater - AO Smith Model #AGCLV50 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. 'rypE OF FIXTURE OR ITEM <br /> _ Balhtub A/C—elr hanCling unlls <br /> .� Lavalory(wash Gasin) ? Forcetl alrsystems <br /> � 9hower Gas ptpinp <br /> � Water heater � <br /> ._ Kitcheo slnk 8 disposal _ pes firaplece � <br /> _ Dfshwasher I <br /> _ Cbtheswasher _ Cbthestl� er I� <br /> _ Laundry tray ry <br /> _ Sink(servicelbarlmopletc.) _ Ranpe Aootl <br /> _ Backflowpreventer — �austian <br /> ._ Urh;al _ Heat pump <br /> _ Drinklnp Fountaln ..— Unit heater <br /> _ Floordraiu .____ BoNer <br /> � Greese trap _ Refdperation <br /> _ Roo(dreins _ ��stove <br /> Ot�er _ Other _ <br /> Clry OF EVEqETT LOCqL gAlEB TAX CODE IS J10S <br /> I�ereby ceriliry that!have reed end exemined this appliration and know the seme lo be Nve end cortect, qil proNs�ans of laws antl <br /> ordlnaces go�eming thta type of work will ba complletl wilh whether spedfied herain or not.The flraminp of a pertnR does nol prasume <br /> lo pive aulhority to vfoltle or cance�the provisbn of any other steta or IOCeI law repulatinp construqfon or the peAoimance o( <br /> constructlon.Thet I am authorized by ihe owner of thls property lo pertorm Ihe work tor which applieatbn is mede and I wmpry wHh the <br /> Stale Contraclors law 18.27 RCW and 298,200 WAC. <br /> T. ���„�/ 10/20/06 <br /> Signature o wner/Contrecto�lAuthonzea Apenl — at�—'-- <br />