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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — ".everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS PARCEL TAX I.D. # <br />2515 MONROE AVE 00545103901700 <br />LEGAL . BLOCK TRACT <br />DESc.1 L07NO <br />DONNA GARVILI_ Same as site address ever 98203 425-353-0078 <br />TENANT NAME CONTACT FOR PERMIT <br />PHONE <br />Naida Khan/Cyndal Millhollin 360-945-2787 <br />CONTRACTOR WESCO ADDRESS CITY2IP PHONE <br />CONTR. LICENSE! WASHIES9710B 2800 Thorndyke SEATTLE 800-398-4663 <br />USE OF BUILDING I — HEAT SOURCE CONTRACT PRICE OF WORK <br />residential Electric Gas —Other I $950 00 <br />WORK DESCRIPTION — <br />replace gas 50 gallon hot water heater <br />PLUMBING MECHANICAL <br />NO. I TYPE OF FIXTURE OR ITEM NO. I TYPE OF FIXTURE OR ITEM <br />_ Bathtub -- <br />Lavatory (wash basin) — <br />Ehower <br />_____ Kitchen sink S disposal <br />_Dishwasher <br />_ Clothoa waphor — <br />_ Laundry tray — <br />Sink (service/bar/mop/etc.) — <br />Backfiow, prA.venter <br />— Urinal — <br />Drinking Fountain — <br />_ Floor drain — <br />_ Grease trap — <br />_ Roof drains — <br />Other -- <br />r ,­ — air nanaiing units <br />Forced air systems <br />Gas pipinq <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaurtfan <br />Heat pump <br />Unit heater <br />Boiler <br />ROngeration <br />WOOdStove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceribfy that I have read and examined this application and know the same to be true and correct. All provisions of laws and <br />OrdinaCes Governing t'tls typo of work gill be, complied with whether spedfied heroin ur not. Tree granting of a permit does not presume <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 alit orized by the owner of this property to perform the work for which application is made and I comply with the <br />State Contractors v jR wan 206.2C0 WAC <br />/ 12-21-C�� <br />Signature of Owner/ o aclodauthnn, .n A�� ,, _ — <br />