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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT 8ERVICE0 <br />3200 CEDAR STREET, EVERETT, WA 90201 <br />425-257.8810 — FAX 425-257-8857 — www.everettwa.org <br />ARE ACCEPTED FROM 8 AM TO 4 PM <br />APPLICATIONS <br />SITE ADDRESS <br />PARCEL TAX I.D. 0 <br />PERMIT M <br />1931 RAINIER AVE <br />00438438601500 <br />or,C ct <br />LEGAL LOT NO. <br />BLOCK <br />TRACT <br />DEBC.I <br />OWNER ADDRESS CITYIZIP PHONE <br />BARRY J PELLEGRINI 1031 RAINIER AVE, Everett 98201 425-258-6171 — <br />TENANT NAT.iE <br />CONTACT FOR PERMIT PHONE <br />Naida Khan/Northwest Permit Inc 360-945-2787 <br />CONTRACTOR WESCO ADDRESS CITYIZIP PHONE <br />2800 Thorridyke Ave W Seattle, 98199 206-378-6649 <br />CONTR. LICENSEE WASHIES971 OB <br />USE OF BUILDING <br />HEAT SOURCE <br />CONTRACT PRICE OF WORK <br />Residential <br />Electric L Gas Other <br />$950.00 <br />WORK DESCRIPTION <br />Replacing 1 gas to gas 40 gallon water heater <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />NO. TYPE OF FIXTURE OR REM <br />_ <br />Toilet <br />A/C —air handling units <br />Bathtub <br />Forced air systems <br />_ <br />Lavatory (wash basin) <br />Gas piping <br />Shower <br />Water heater <br />_ <br />_ <br />Kitchen sink 8 disposal <br />Gas fireplace <br />Dishwasher <br />Gas range <br />_ <br />_ <br />Clothes washer <br />Clothes dryer <br />_ <br />Laundry tray <br />Range hood <br />_ <br />Sink (serviceroarlmop/etc.) <br />Exhaust tan <br />_ <br />UackfloW preventer <br />Heal pump <br />_ <br />Urinal <br />Unit heater <br />_ <br />Drinking Fountain <br />Boiler <br />Floor drain <br />Refrigeration <br />.� <br />Grease trap <br />Woodstove <br />Roof drains <br />Other <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 0105 <br />1 hereby ceritify that I have read and examined this application and know the same to be true and correct All provisions of laws and <br />crdlnaces governing this type of work will be complied with whether speGfied herein or not. The granting yr to permit Uves nut pnrosunin <br />to give authority to violate or cancel the provision of any other state or local law regulating construction or the performance of <br />construction. That I am authorized by the owner of this property to perform the work for which applicatior is made and 1 comply with the <br />Stale contract /ss Law {�10.2' .CW ainn'd 290.200 WAG. <br />Signature of Owner/C n actor/AUthpn2ud Agent Da4 <br />