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j 1PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 320(1 CEDAR STREET, [VERETT, WA 9p201 <br /> I 425•257-8810—FAX 425-257-8657—www,evereitwa.org <br /> I APPLIGATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � SITE ADDRE55 PARC[L TAX I,p.# <br /> i 2330 MAPLE ST OD515850203100 1�Mirk` <br /> LEGAL LOTNO. BLOCK TRACT �O I�U <br /> I �ESC. <br /> OWNER AOURESS <br /> CIN/ZIP PHONE <br /> MICHAEL BENDAWALD 2330 MAP�E ST e���nusazoi 425-259-5988 <br /> iT[NANTNAME CONTACTFORAERMI7 PNONE <br /> INaida Khan 360-945-2787 <br /> I CONT{2ACTOR \A/ESCO I�DUR[SS CIT'21P PHONE <br /> I CONT2LICENSE7WAS1-IIES9710B 2800Thorndyke SEATTLE 800-398-4463 <br /> USE OF 6UILDING I1EA7 soUacE CONTRACT PRICE OF WORK <br /> S FR �e�ectric �,c,as_Other I 950.00 <br /> WORK DESCRI?TI�N <br /> Replace gas to gas 50 gallon 40,000 btu water heater <br /> � <br /> PLUMBING MECHANICAL <br /> N0. TYPG OF FI7(7URE OR I1EM N0. TypE OF fUCTURE OR ITEM <br /> I = Balhtub ._ A1�—airhendlingunits <br /> Lavalory pvash basin) -- �o�d air systems <br /> I _ „ Gas i m <br /> K tchen sink&disposal ' Water heater <br /> I ` Jishwasher _ Gas fireplace <br /> I ^ Clulhr.s wachcr = Gp9 ranqe <br /> laundry tray aothes tlryer <br /> I ` Sink(service/bar/mopleta) _ Range hooy <br /> 6ackflow preventcr _ Exhaust fan <br /> I _ Urinal � I leat pump <br /> Drinking Fountaln _ Unit heater <br /> I _, Fioordraln = Bailer <br /> �reaSe irap Rorrigera�ion <br /> I = Roof dr3ins — Woodstove <br /> OU�cr � Other <br /> I CITY O�EVEftETT LUCAL SAL[S TNC COOE IS J705 <br /> � I hereby ceritify lhot I have read and examined thls applicalion and know Ihe same to be true and cortect. All provisions of laws and <br /> I ordinace5 govemlrlg this tyDC af WO�k wi�l he rnmpfnd with uhether cpcolficd horcin or not,Tlie yienting of a pCfmit tlo25 nOt preSutnC <br /> to give authonty to violete or cancel the provision of eny other state or local law regulating construction or the peAormance of <br /> I conslrudion.7haf I am authorizeJ by the owner of this property to perform ihe wark for which applica(ion is made and I comply��th the <br /> I State Conlractors� 1827 RC tid 296Z00 WAC. <br /> � � �" � � �-� <br /> I Signalure of Owncr/Gontrac r/A thonzed Agent � <br />