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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 —wwuv.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM a.. —D7 �I�j <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT M <br /> 1113 E MARINE VIEW DR o043832280070o i(�( (�jp — bfo�- <br /> LEG4L L�TNO. BLOCH TRACT <br /> DESC. <br /> OWNER ADDRESS QN21P PHONE <br /> RYAN M ZIEGLER 1113 E MARINE VIEW DR Everen 982ot 206-280-2310 <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> Jennifer Burgess 206-774-9499 <br /> CONTRACTOR \A/ESCO ADDRE55 pN/ZIP PHONE <br /> VV 3909 �i96 St SW� lYnnwood 9AU36 $00-398-4663 <br /> coNrR.ucENse a WAS H I ES971 OB <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> Residential I �Electnc �Gas_Other $75Q.QQ <br /> WORf< DESCRIPTION <br /> Replace 40 gal gas water heater TANK IS IN A SEPARATE BUILDING NEXT TO TFIE <br /> GARAGE <br /> PLUM8ING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE Of FIXTURE OR ITE�1 <br /> Tcltet NC —air hantlling unrts <br /> Balhtub Forced air systems <br /> Lavatory (wash basin) Gas piping <br /> Showcr i Waler heater <br /> Krtchen smk E disposal Gas lireplace <br /> Dishvnsher Gas range <br /> Clothes washer Clothes tlryer <br /> Laundry Iray Range hootl <br /> Sink(servicelbarlmop/etc.) Exhaust�an <br /> 6ackllow preventer Hcat pump <br /> Unnal Unil healcr <br /> Drmkin9 Fountain Ooiler <br /> f=loor diam Rcingeralion <br /> Greasc trap Woodslove <br /> fi00f tlram5 Olher <br /> ^ O[her <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS J705 <br /> I hereby ceritify thal I have read and examinetl this app6calion and know ihe same to be true and correct All prwisions of lavrs and <br /> ortlin,ces governmg this type of vrork Hnil be tomplied with whMher specilietl herem or not The yranUng ol a permrt tloes not presume <br /> to g�ve authonty to violate or cancei the provision ol any other state or IOCa� law ieguiating constructinn or the pedormance ol <br /> conSlNCllon. Tha� I Bfil �UthOfiiCd by�hE Ownef Ot lhi5 prOpetty f0�ftfOtm(hc WOfk fOt WhlCh �ppliW�iOn i5 010dB Bntl I COR1ply with Ihe <br /> Statc Contractors Law 18.27 RCW antl 296 200 W�C <br /> Uiq�iBry Y9^"'e uy xmiln awae�� <br /> J e n n ife r B u rq ess ,:�,.,,.��,..,.��,,,,.,«,,,�„��.,�r«AN,,.a� ,q�,,,,..�,r <br /> vHw�L i m m�....iMmwymm�mm�-us <br /> SignaturcolOwner/Goniracto Authon=aU�i7jen�'"'"""""�°'"'� Datc <br />