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( <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM 3 �O �"I Z <br /> SITE ADDRESS PARCEL TAX I.D.M PERMIT k <br /> 3521 FRIDAY AVE 00451500400301 a - o0 5 <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS qTY21P PHONE <br /> DALE HECHT same as site address 98201 425-252-4307 <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> ICyndal/Naida 360-945-2787 <br /> CONTRACTOR \A/ESCO ADDRESS tlTY21P PHONE <br /> Vv 2800 Thorndyke SEATTLE 800-398-4663 <br /> CONTR.LICENSE#wAS H I ES 77 1 O B <br /> USE OF BUILDING HEAT SOURCE COIJTRACT PRICE OF WORK <br /> residential I _Electric �Gas,_Other 950.00 <br /> WORK DESCRIPTION <br /> REPLACE GAS 50 GALLON HOT WATER HEATER <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toltet A/C—alrhandling units <br /> Bathtub Forced alr systems <br /> Lavatory(wash basin) Gas piping <br /> Shower i Water heater <br /> Kitchen sink&disposal _ Gas fiieplace <br /> Dishwasher Gas range <br /> Clothes washer Clothes dryer <br /> Laundry tray _ Range hood <br /> Sink(service/bar/mop/elc.) Exhaust fan <br /> Backflow preventer Heat pump <br /> Urinai UnR heater <br /> Drinking Fountaln Boiler <br /> � Floor draln Refrigeration <br /> Grease trap Woodstwe <br /> Roof dralns Other <br /> Other <br /> dTY OF EVERETT WCAL SALES TAX CODE IS 3105 <br /> I hereby ceritity that I have read and ezamined th(s appllcation and knowtha same to be true and correct. All prwisions of laws and <br /> ordlnaces governing thistype of work will be complied wilh whether specified herein or not.The granting of a permit does not presume <br /> to give authoriry to violate or cancel the provlsion of any other state or Iocal law regulating o�nstruction or the peAormance of <br /> construction. That I am authorized by the owner of this property to perlorm the�.wrk for which eppllcation I5 made and I comply wdh the <br /> State Contractors Law 18.27 RCW and 296.200 WAC. <br /> �fz:-�� , 3/5/12 <br /> S gnature of ner/Contracrod uthorize gent ate <br />