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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 —FAX 425-257-.857 — wwvd.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM y <br />SITE ADDRE^u; <br />PARCEL TAX I.D. # PERMIT # <br />1801 62NU ST SE <br />00527100000500 <br />LEG4L LOT NO. <br />BLOCK <br />TRACT <br />DESC <br />OWNER ADDRESS pTV21P PHONE <br />JOHN & BARdARA CASHEN same as site address 98203 425-353-0216 <br />TENANT NAME <br />CONTACT FOR PERMIT PHONE <br />360-945-2787 <br />CyndallNaida <br />CONTRACTOR IA/ESCO ADDRESS gTY21P PHONE <br />VV 2800 Thorndyke SEATTLE 800-398-4663 <br />CONTR. LICEIJSEn WASHIES971 OB <br />USE OF BUILDING <br />HEAT SOURCE <br />CONTRACT PRICE OF WORK <br />residential <br />_ Electric /— Gas_ Other <br />6773.00 <br />WORK DESCRIPTION <br />REPLACE OIL TO ELEC 15KW FURNACE AND 2 TON HEAT PUMP <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />NO, <br />TYPE OF FIXTURE OR ITEM <br />A/C —air handling units <br />Toilet <br />_ <br />Bathtub <br />+ <br />Forced air systems <br />_ <br />Lavatory (wash basin) <br />Gas piping <br />_ <br />Shower <br />Water heater <br />_ <br />Kitchen sink &disposal <br />Gas fireplace <br />_ <br />Dishwasher <br />Gas range <br />_ <br />Clotheswasher <br />Clothes dryer <br />_ <br />Laundry tray <br />Range hrod <br />_ <br />Sink (servicelbar;mop/etc.) <br />Ezhausl}an <br />_ <br />Backtlow preventer <br />r <br />Heat pump <br />_ <br />Urinal <br />Unit heater <br />Drinking Fountain <br />Boller <br />Refrigeration <br />_ <br />Floor drain <br />Grease trap <br />Woodstwe <br />_ <br />Roof drains <br />Other <br />_ <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 9105 <br />I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and <br />ordinates governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume <br />to glue authority to violate or cancel the provision of any other state or local law regulating construction or the performance of <br />construction. That I am authorized by the owner of this property to perform the work for vvfikh application is made and I comply with the <br />State ¢brJtractors Lew 18.27 RCW and 296 200 WAC. <br /><�-C---` 4/25/12 <br />Ignature o ner ontractor ut or:e gent Date —� <br />