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12-14-'�9 11:58 FROM-nw permit 13609952091 T-978 P003/003 F-�65 <br />PERMIT APPLICATIDN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVcRETT, WA 98201 <br />425-257-2610 — FAX 425-257-8857 — w�vw.everettwa.org <br />SITE- ADDRESS <br />2131 RAINIER AVE <br />LEGAL LOTNO. <br />OESC. <br />RUSSELL WERTHER <br />/1PPLICA710NS ARE ACCEPTED FROM 8 AM TO A PM / 2_ <br />PARCEL TAX I.D. # <br />ooaa�eaazo�so� <br />l3LOCK TRACT <br />same as site address <br />ever 98201 425-25F3-4176 <br />TENANT NAM11E CONTACT fOR PERMIT FIiO�iE <br />Naida Khan/Cyndal Millhollin 360-945-2787 <br />cONTRACTOR 1AI�SCO ADDRESS c1TYIZIP PHONE <br />VV 2800 Thorndyke SEATTLE 800-39a-4663 <br />°o"TR. "°E"SE" WASHIES971 OB <br />USG OF DUILDING <br />residential <br />WORK DESCRIPTION <br />replace gas 50 gailon hot wat�r heater <br />NO. � TYPE OF FI%TURE OR ITEM <br />Bathtub <br />Lavatory (wash �asin) <br />Showor <br />Kitchen sink E disposal <br />Dishwashur <br />Clothes washer <br />Laundry lray <br />Sink (scrvicc/baUmop/olc.) <br />D�ckllOw preventCr <br />Urinal <br />Drinking Fountai0 <br />Floor drain <br />G�ease �rap <br />Roof drains <br />Olher <br />HEATSOURCE <br />_ Eleclric � Gas „_ Olher <br />CONTRACT PRICE OF WORK <br />$950.00 <br />N0. I NPE OF FIXTURL" OR IiEM <br />A/C - air hantlling unils <br />Forced air systems <br />Gas piping <br />Wal6f hea�er <br />Gas fireDl2ce <br />Gasrange <br />Clothes dryer <br />Ftange hood <br />Exhauslfan <br />Heal pump <br />Unit heater <br />�oiler <br />Rclriflcr2lion <br />Waadstove <br />Other <br />CITY OP EVERETT LOCAL SALES TAX GODE IS J705 <br />I hereby ceriliry lhat I have raad and examined this applicalion and know the same to �e inie and wrrect. Au provisions of Isv,s and <br />u�dmaces governing tl�is typB 0� N'O�k vnll b0 COmpIi2Q �'dth whClhC� SpCoifed he�ein Of r101. ThC 9f30titlg 01 � pCfntll dOCS �Ol p�CSUme <br />tu ��ve aulhonty to vioiatz or cancel the provision of any other state or local la�v regulaling construcUon or the pedormance of <br />construction. That I am authorizetl by Ihe ownor ot this p�operty lo peAorm the work for �tihich application is mada and I compry ��,th the <br />State Contraclors Law i8.27 RCW and 29G,200 WAC. <br />