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To E Page 2 of 7 2014-09�30 Oo.50�49 (GMT) 1BBB4000383 Fwm� Deborah Shieltls <br /> —_� • <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 -www.everettwa.org <br /> APPUCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM /� ci�•�/y <br /> L <br /> SITE AODRESS PARCEL TAX I.D.# PERMIT N <br /> 1318 MAPLE ST o0a3s�258o2a0o �, ( ,%Q -- GD <br /> LEGAL LOT NO. BLOCK TRACT <br /> DESC <br /> OWNER �JDRE55 CITY/ZIP PHONE <br /> KEITH SOVERt.IGN 1318 MAPLE ST E�ere�t982ot 425-252-1912 <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> JENNIFER COVELLO 206-774-9499 <br /> CONTRACTOR \A/ESCO ADORE55 CITYI2IP PHONE <br /> °V 3909 196th St SW Lynnwood 800-398-4663 <br /> CONTR, UCENSE tt Wn5HIE59710B CiTV UC#a13�i9 <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> RES _ E�ectric �Gas_Other 75�.�0 <br /> WORK DESCRIPTION <br /> ;�EPLACREPLACE GAS WATER HEATER <br /> PLUMBING MECHANICAL <br /> NO. TVPE OF FIXTURE OR ITEM NO. TYPE OF FI%TURE OR ITEM <br /> Toilet A/C-air hantlling urots <br /> � BathWb Forced av systems <br /> Lavarory(�vash basin) Gas piping <br /> Shower � Wa[er heater <br /> Kitchen sink S disposal Gas fireplace <br /> Dlshv+asher Gas range <br /> Clothes washer Clothes dryer <br /> Laundry tray Ran9c hood <br /> Sink(service/bar/mop�elc) Exhaust fan <br /> DackOow preventer Haat pump <br /> Urinal Unit heater <br /> Dnnkmg Fountam Doder <br /> Floor dram Refngeration <br /> Grease lrap Woodstove <br /> Roof drains Olher <br /> Othcr <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br /> I hereby centify thal I have read and examined this application and know the same lo be true and correct. All provisions of laws and <br /> ortlinaces governing ihis type of work vnll be complied with whether specified hercin or nol. The grantirg of a permit does not presume <br /> to grve authorily to violate or cancel ihe provision cf any clher state or local law regulating conslruclion or the performance ol <br /> construcnon. That I am aulhorized by the owner of lhis property to perform the woik for which application is made and I ccmply with Ihe <br /> State Conlraclors Law 1827 RCW and 29C�,�,�19�!ti!AF�„ �,�o,,,, . <br /> Jennifer Covello "�°°_ �."�..";°-"�°A., .�R�"�°�� <br /> A.µnn.l�� w(ti�mit[On.�-U1'' <br /> n...�n �mw�natw�.nrm <br /> Signature of Owner/ContractouAuthoriietl Agent Dale <br />