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i <br /> PERMIT APPLICATION r�a�s <br /> CITY OF EVERETT PERMIT SERVICES �� <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810—FAX 425-257-8857—www.evereriwa.org <br /> qPPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL 7AX I.D.• PERMI7 N <br /> �G <br /> 1314 Ma le St ooa38725so2600 ���G,;Z- � <br /> LEGAL LOTNO. BLOCK TRACT <br /> oesc. LOTS 27 8,28 BLK 258 D-00- EVERETT DIV T PLAT <br /> OWNER ADDRESS CITY2IP PHONE <br /> Mary Allen 1314 Maple St everen sa2o� 425-252-9288 <br /> TENANTNAME CONTACTFORPERMIT PHONE <br /> IMelissa Croda 360-945-2787 <br /> CONTRACTOR 1A/ESCO ADDRESS CITY/LP PHONE <br /> Y1/ f1�7 2800 Thorndyke SEATTLE 206-378-6649 <br /> CONTR.LICENSEA\�/ASHIES.7! 1OB <br /> VY <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> SFR _Electric ✓ Gas_Olher I 95�.�0 <br /> WORK DESCRIPTION <br /> Replace 50 Gallon gas to gas Water Heater, 40,000 BTU located in utility room <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR REM NO. TYPE OF FIXTURE OR ITEM <br /> _ Toilot NC—air handling units . <br /> _ Bathtub Forcedairsystems <br /> Lavatory(wash basln) Gas piping <br /> Showor i Water heater <br /> _ Kilchen sink 8 disposal Gas fireplace <br /> _ Dishwashar Gasrange <br /> _ Clothes washor Clothes dryei <br /> _ Laundry tray Rango hood <br /> Sink(service/b�r/mop/atc.) Exhaust fan <br /> _ Gackfluw proventer Hoat pump <br /> Udnal Unit hoaror <br /> Drinking Fountain Boi�er <br /> _ Floordroin Ro(rigeralion <br /> Grease trap Woodstove <br /> Roof drains Other <br /> Othor — <br /> CITY OF EVERETT LOCAL SALES TAX CODE I$J705 <br /> I hareby cerilify thal I have read and oxamined this application and know the sama to be truo and correcl. All provisions of laws and <br /> ordinaces govemin�q this rype of work will bo complied wilh whethor specified horoin or not.The granling of a pertnit doos not presume <br /> to c�ive authority to yiolaie or cancol tho provision of any other stale or local law regulating consirucNon or ffie performanca of <br /> construction.That I�am authorized by the owner of this property to perform the work for which application is made and I comply with the <br /> State Contractors L w 18.27 RCW and 296.200 WAC. <br /> � .�'.'/'.lf�Y�O /��� O <br /> Signaluro o O�meqConlractod ut onzed Agem atu <br />