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09-11-'�7 15: 15 FROM- T-022 P002i003 F-038 <br /> PERMIT APPLICATION <br /> CITY OF EVEF�ETT PERMIT SERVICES G� �� <br /> 3200 C[DAR STREET, EVERETT, WA 98201 I`�� <br /> 425-257-8810— FAX 425-257-8857—vnvw.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRCSS I PARCEL TAX I.D.q PERMIT p <br /> 2n296akerAve � 00437854301500 ����—QL�j <br /> L[GAL �OTNO. BLOCK Tt3ACT <br /> oesc L0T5 15 8 16 a�K 543 D-0o• EVERETT DIV I PLAT OF ' <br /> OWNER AUDRE56 CIYY�ZiP PNONE <br /> Charlotte Brackelt ?_A29 Baker Ave Everep 9d201 425-339-f3244 <br /> TENANT NAME CONTACT FOR PERMIT PNONE <br /> IMelissa Croda 360-945-2787 <br /> CONTR4CTOR 1A/ESCO AODRESS �ITVIIIV PHON[ <br /> ��� 2800 Thorndyke SEATTLE 206-37' ,;649 <br /> CONTR.UCENSE M 1��AS H I ES97�OB <br /> VV <br /> USE OF�UILOING HEAT SOURCE CONTRACT PRICE OP WORK <br /> S FR _E�eCnc �Ges_.o�her 750.00 <br /> WORK DESCRIpTION <br /> Repiace gas to gas 40 gallon 40,000 btu water heater <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE aR ITEM N0. TYPE OF fl%TURE OR ITEM <br /> Toilet NC-air handlmp unds <br /> [3athtuC Fvrced a�r sys�ems <br /> Lavatory(wash basin) G,�s piping <br /> Shower � Walcr healer <br /> 14tchen sink 8 tlisposal Gas freplace <br /> Diahwashe� � Gas ranqe <br /> � Clothes washer _ Clolhes Aryor <br /> Launclry voy knnpe hood <br /> Sink(servicelGaqmop/utc.) Ezhausl fan <br /> BeckAow preventer Heat pump <br /> � Unnal � Uml heater <br /> Drmking Foun�e�n Qoiier <br /> Floor drain RafriBeraUon <br /> 6rease trap Wootlslove <br /> Roof dr�ins Olher <br /> Othef <br /> CITV OF EVERETT LOCAL 6ALE8 TAX CODE 16�106 <br /> I here6y cerilify that I have iead end examined Ihis application end Anow ihe same lo be true end cortect All provision5 01 laws end <br /> urAmacos povorninp lhis type ot work H�II bo complied with whather apecified harein ot not The flranunp ol a perm:�Aoes not presume <br /> to yrve authonty lo v�clate or cancel Uie provis�on of eny ather slele or local lew reguleting cc�sVuct�on or the peRormance of <br /> construcUon. That I enl aulhonzetl Dy tha owner of Ihis prop9rty lo pedorm the work for wt��Ch appiiCation ie made and I comply with the <br /> State Comractors Law 18 27 RCW and 298200 WAC <br /> S�yna�fuie of Ow��C�o� ut iorizeyd Agenl y /// ate <br /> i._------------ . _ <br />