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¢oi...or..00000:+.�oaon�r> .no� <br /> n000�oo i•.o... oeu.�.s.. .-...n+�n.� <br /> •o r_ �.,n� .o• ` <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857 —wwvd.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � _-'�,��Iy' <br /> SITE ADDRESS PARCEL TAX I.D.ri PERMIT N <br /> � <br /> 3402 NORTON AVE 00437582703100 <br /> LEGAL LOT NO. BLOCK TRACT <br /> OESC <br /> OWNER A�DRESS GITYIZIP PHONE <br /> MIKE STOLL 3402 NORTON AVE Everell98201 425-257-0633 <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> IJENNIFER CO'dELLO 206-774-9499 <br /> CONTRACTOR �A/ESCO A�DRESS CITYI2IP PHONE <br /> �� 3909 196th St SW Lynnwood 800-398-4663 <br /> CONTR.LICENSEO WASHIES971 OB <br /> USE OF BUILDING HEAT SOURCE I CONTRACT PRICE OF WORK <br /> RESIDENTIAL I _[Icctnc �Gas__otne� 1318.10 <br /> WORK DESCRIPTION <br /> REPLACE GAS WATER HEATER <br /> — PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FI%TURE OR ITEM <br /> Todel _ NG—air handlin9 unns <br /> � 6athtub _ Forced au systems <br /> Lavarory(wash basin) _ Gas piping <br /> Shower + Water heater <br /> Kdchen sink&clisposal _ Gas fimplacc <br /> Dishwasher _ Gasrange <br /> Go�hes washer _ Clothes dryer <br /> Laundry Imy _ Range hood <br /> Sink(servh;elbadmop/etc.) _ Exhau;�lan <br /> Backtlow preventer _ f�eat pump <br /> Unnal _ Unit healer <br /> Diinkmy Fountam _ Boder ' <br /> Floor dram _ Refngeralwn <br /> Grease irap _ �`loodslove <br /> Roof drains _ Other <br /> Other — <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 1105 __ <br /> I hereby centify that I have read and ezamined this application and know the same lo be true and correcl All provisions of laws and <br /> ordinaces govemmg lhis type of work wtll be complied wdh whether specihed herein or noL The granting of a permil does nol presume <br /> to g�ve authonly to violate or cancel ihe provision of,ny other stale or local law regulatiny construction or the perlonnance ol <br /> construc:�on. That I am aulhorized by the owner of thi;pwperty to perlorrn ihe work for which apphcahon is matle and I comply wdh ihe <br /> Stale Cadracrors Law 18 27 RCW and 29�,.�qp,�(V(��„�,,,,,c„�m <br /> Jennifer Covello ;,,��.a,,.,.,��..,.,�,�a,�..,,�.,m,,,�,.�� <br /> m..i=k�rdn .�nrm.uow a=m <br /> .—GauJ n�vrn�� ns . <br /> SgwWre of OwnedConlraUorlAuthorized A9ent nA Date <br />