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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 ��f 6._.�(7 <br /> SITE ADORESS PARC_L TAX I.D.if PERMIT# <br /> 244 H�ATHER RD o0584900301502 �J �/ <br /> LEGAL LOT NO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS q7Y21P pHONE <br /> RONALD JACOBS same as site address ever 98201 425 343-8400 <br /> TENANT NAME CONTACT FOR PERMIT pHONE <br /> Naida Khan/Cyndal Millhollin 360-945-2787 <br /> CONTRACTOR \niESCO ADDRESS qN21P PHONE <br /> �� 2800 Thorndyke SEATTLE 800398-4663 <br /> CONTR.LICENSE H`^'^�u I Es•97��B <br /> vvey ri <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORI( <br /> RESIDENTIAL _e�eotrio �Gas_Other $950 <br /> WORK DESCRIPTION <br /> REPLACE 50 GALLON GAS HOT WATER HEATER (BASEMENT) <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C–air handling units <br /> _ Bathtub Forcetl air systems <br /> _ Lavatory(vrash basln) u'as piping <br /> Shower i Water heater <br /> _ Kitchen sink&disposal Gas fireplace <br /> _ Dishwasher Gas range <br /> _ Cbthes washer Clothes dryer <br /> Laundry tray _ Range hood <br /> Sink(service/badmopletc.) Exhaust fan <br /> _ Backflowpreventer Heatpump <br /> Urinal Unit heater <br /> �rinking Fountaln Boiler <br /> _ Floor drain Refrigeration <br /> Grease trap Wootlstwe <br /> Roof drains Other <br /> Other — <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritity that I have read and examined this application and know the same to be true and co«ect. All prwislons of laws and <br /> ortlinaces governing this type of work will be complied with whether specifietl herein or not.The granting of a permit tloes not presume <br /> to give authority to vlolate or cancel the provision of any other state or local law regulating mnstruction or the peAormance of <br /> construction.That I am authorized by the owner of this property to perform the work for whkh application is made and I comply with the <br /> Siate Contrectors Law�8.27 RCW antl 296.200 WAC. <br /> .'r-'-1."=-_'— <br /> SlgnaNre of OwnerfCon[racrorlAuthonzetl Agent Date <br />