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-( � <br /> P�RMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 37.OG CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425257-8857— ww�n�.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM j �� ':;� �� <br /> SITE ADDRE55 PARCEL TAX I.D.p PERMIT M � <br /> 1731 BAKER AVE o043893560�500 � L IpS- (5�Q I <br /> L[G4L LOT NO. BLOCK TRACT I <br /> DESC <br /> OWNER ALORESS dTV21P PHONE <br /> 34 OAK`�� FELLOWSHIP SAME AS SITE ADDRE5SS Everelt98201 425-238-1790 I <br /> TENlWT NAME CONTACT FOR PERMIT PHONE <br /> Naida Khan 360-945-2787 <br /> CONTRACTOR \A/ESCO ADDRESS q7V21P PHONE <br /> VV �7 2800 Thorndyke SEATTLE 800-398•4663 <br /> CONTR.LICENSEN�A�ASHIES9/ �OB <br /> Vv <br /> USE OF BUILDING HEAT SOURCE I CONTRACT PRICE OF WORK <br /> SFR _eiectric �Gas_other 950.0� <br /> WORK DESCRIPTION <br /> REPI_ACE GAS 50 GALLON WATER HEATER <br /> PLUMBING MECHANICAL <br /> NO. TVPE OF FI%TURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Tollet A/C—air handling umts <br /> BathNb Forced air systems <br /> Wvatory (v:ish basm) Gas piping <br /> Shower i Water he.ter <br /> Knchen sinh 8 tlisposal Gas fireplace <br /> Dishwastier Gas range <br /> Clothes washer Clothes diyer <br /> Laundry tray Range hood <br /> _ Sink (service/ba�lmop/etc� Exhaustfan <br /> Baehflow preventer Heat pump <br /> Urinal UnA heater <br /> Urmhing Fountam Boller <br /> Floor Arain Refrigeration <br /> Grease trap Woodstwe <br /> � Roof tlrains Olher <br /> Other <br /> � <br /> CIN OF EVERETT LOCAL SALES TAX CODE 151105 <br /> I hereby cer�tity that I have reatl and e*amined this appGca6on and know the same to be tnie and correct. All p�wisions of laws and <br /> ordinaces govemmg this type of wnrk will be complietl�^nth whether speclhed herein or not The granting of a perrtut does not presume <br /> to gwe avthonty to violate or tancel tho provision of any other state or local law regulating mnstmction or the pertormance of <br /> constmction That I am authori�ed by the ovmer of this property[o pertorm the work for•.vhkh application is matle and I comply wdh the <br /> State Contractors L�w 1827 RCW and 296200 WAC. <br /> - --- - 5/12/11 <br /> 5�gnature o Ownen ontracrori uthorl�ed gent ate — <br />