644 MAULSBY LN 2016-01-01 MF Import

� PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 425-257-8810 — FAX 425-257-8857 — www.everettwa.org APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM SITE ADDRESS 644 MAULSBY LANE �EG4L LOT NO. aLOCK DESC. PARCEL TAX I.D. It 00388613300400 TRACT PERMIT M ROBERT SCHALLER SAME AS SITE ADDRESSS everett se2o� 425-356-9774 TENlWT NAME COi 1TACT FOR PERMIT PHONE ICyndal/Naida 360-945-2787 CONTRACTOR\A/ESCO VV CONTR. LICENSE M WAS H I ES97 I OB USE OF BUILDING residential WORK DESCRIPTION ADDRESS QTV21P PHONE 2800 Thorndyke SEATTLE 800-398-4663 HEAT SOURCE _ E�ectric � Gas _ Other REPLACE GAS 50 GALLON HOT WATER HEATER NO. I NPE OF PIXTURE OR ITEM Toilet Bathtub Lavatory (wash basin) Shower Kitchen sink & disposal Dishwasher Clothes washer Laundry tray Sink (service/bar/mop/etc.) Backflow preventer Urinal Drinking Fountaln Floor drain Greasetrap Roof drains other NO. CONTRACT PRICE OF WORK ti � � �� TYPE OF FIXTURE OR ITEM AIC — air handling units Forced alr systems Gas piping Water heater Gas fireplace Gas range Clothes dryer Range hood Exhaustfan Heat pump UnR heater Boiler Refrigeration Woodstwe dTV OF EVERETT LOCAL SALES TAX CODE IS 3105 I hereby ceritify that I have read and examined this application and know the same to be true and correct. All prwisions of laws and ortlinaces governing this type of wvrk will be mmplied with whether speafied hereln or not. The granting of a perrnit does not presume to give authoriry to violate or cancel the provision of any other state or local law regulating oonstruction or the pertormance of construction. That I am authori=ed by the owner of this property to pertorm the work for whkh application is made and I mmply with the State Contractors Law 18.27 RCW antl 29E200 WAC. ��-�-: -_, 9/20/11 Signature ot OwneUContractor/Authorizetl Agent ate