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--- —� - — � - - --- — <br /> PERMIT APPLICATION '� <br /> CITY OF EVERETT PERMlT SERVlCES I <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-2`7-8810 — FAX G25-257-3857 —wvdw.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM 1� a,3"�S/ <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# I <br /> 3031 KROMER AVE 00437672501200 � - � (G <br /> LEGAL LOTNO. BLOCK TRACT � <br /> DESC II <br /> OWNER ADDRESS CITYIZIP PHONE <br /> i DnNIEL SELOVE 3031 KROMER AVE E�-er�u �ezoi 425-339-9324 � <br /> I7ENANT NA�dE CONTACT FOR PERMIT PHONE I <br /> � Jennifer Covello 206-774-9499 � <br /> CONTRACTOR �A/ESCO ADDRE55 CITY/ZIP PHONE <br /> VV 3909 196th St SW Lynnwood 800-398-4663 <br /> cor+Ta. uceNse� WASH I ES9710B <br /> � <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK � <br /> RES _Eiec:nc �Gas_otner $950 <br /> WORK DESCRIPTION <br /> � REPLACE 50 GAL GAS WATER t iE�TER <br /> , PLUMBING MECHANICAL <br /> N0. iVPE OF FIXTURE OR ITEM NO. TYPE OF FI%7URE OR ITEM <br /> Todat FJC—air handling unrt5 <br /> Bathtub Porced air systems <br /> Lavatory(wash basin) Gas piping <br /> Shower Waler healer <br /> Kitchen sink 8 disposal Gas fireplace I <br /> Dishwasher Gasrange 'i <br /> _ Clothes washer Cbthes dryer 'I <br /> Laundry tray Range hocd <br /> Sink (servicelbadmop/etc.) Exhausl fan <br /> Backflow preventer Heat pump <br /> Unnal Und heater <br /> Drinking Foun�ain Boiler <br /> Floor tlra�n ReG�gerahon <br /> Grease lrap Woodstove <br /> I _ Rool drains _ Olher <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br /> i I hereby ceritify that I have reatl and eramined this applicahon and know the same to 6e true and correct All prows�ons oi laws and <br /> ordinaces governing this type of work will be complied with whether spealed herein or not The granling of a permi�does not presume <br /> ' to gwe authority to violate or cancel Ihe provision of any other state or local law regulaGng construction or the peric:,-:ance o( <br /> con,truct�on That I am author�zed by Ihe owner of thls property to perform the work for which applicahon Is ma0e artl i comply with the <br /> Stale Contractors Law 1B 27 RCW and 29�?��0 Wl,C. <br /> 9� r��nmd ��mnfrt(weno <br /> J e n n i f e r C ov e I I o o„�,,.,m�:_�.�,,o_�o��...,o..m,,.�.o�,a�.o��, <br /> �.����M,,,.,�,�,�.,�� .�.�.m��<om�_�s <br /> S�9nalure cl UwnevContrado��Author�ied gen Date <br /> � . . . .- -----.. .— - - -- ---. _ ._ - <br />