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i <br /> PERMIT APPLICATION 3 �� <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8657—www.everettwa.org <br /> APPLICATlONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 317E ADDRESS PARCEL TAIC I.D.1� PERMIT# <br /> 1005 Ma le St 00438719200014 ,�p,; , � <br /> LEGAL LOTNO. BLOCK TRACT <br /> oesc. BLK 192 D-14 EVERETT DIV T PLAT <br /> OWNER ADDRE39 CITY2IP PMONE <br /> Kenneth Vanemen 1005 Maple St everensa2oi 425-259-4683 <br /> TENANTNAME CONTACTFORPERMIT PHONE <br /> Melissa Croda 360-945-2787 <br /> ��:ONTRACTOR \AIESCO �DRESS CfTY/LP PMONE <br /> �� 2800 Thorndyke SEATTLE 206-378-6649 <br /> CONTR.LICENSEIF WASHIES971 OB <br /> USE OF BUILDING HEAT SOURCE CONTRACT PR�CE OF WORK <br /> SFR _E�ectric ✓ Gas_other I 750.00 <br /> WORK DESCRIPTION <br /> Replace gas to gas 40 gallon water heater, 40,000 BTU located in utility room <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM N0. TYPE OF FlXTURE OR ITEM <br /> _ Toilet AIC—airhandlingunils <br /> Bathtub Forced air systems <br /> Lnvatory(wash basin) Gas pipinc� <br /> Showor � Walor hoalor <br /> Kitchen sink 8 disposal Gas fireplace <br /> �ishwasher Gas range <br /> Clofhos wesher Clothes dryor <br /> Laundry tray Range hood <br /> Sink(service/bar/moplotc.) Exhausl lan <br /> BackOow preventer Heat pump <br /> Urinal Unit heater <br /> Drinkinp Fountain Eoiler <br /> Floor drain Refrigeralion <br /> Greaso trap Woodstovo <br /> _ Roof drains Other <br /> Other <br /> CITY OF EVERETT LOCAI SALES TAX CODE IS 3105 <br /> I hereby ceritify Ihat I have read and oxamined;his application and know tho samn to bo trua and cortecl. All provisions of laws and <br /> ordinaces goveming this type of work will be complied with whelher specified horoin or noL Tha granting of a pertnit does not presume <br /> ro c�ivo authority to violalo or cancel the proviS.on of any other state or local law ragulating construclion or the peAortnance of <br /> construclion.Thal I am autliortzed by the owner o(this aroperty to perfonn the work for which applicotion is made and I comp!y with the <br /> Stato Contractors Law 1827 RCW and 296200 WAC. <br /> l- ..��it�i�� // �U G <br /> Signaluro of Owner/ContraGod ut orized Apei! ato <br />