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�- PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 C6DAR STREET, EVERETT, VVA 08?O1 <br /> 425-257-8810—F/ll(425-25�-fi857—�w+w.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 9 AM TO 4 PM C, � a7`O�f <br /> � <br /> SIT[ADDRESS PARCEL TAX I.D,t{ � P�RMIT# <br /> 7_031 RUCKER /�VE o0437042601200 �1,'��j�j ���{ - Gy( <br /> LEG�L LOTNO. �LOCK TFACT <br /> oGSc. I <br /> OWNER ADOR[SS CI1Y21P PMONE <br /> MIKE EGGERLING 2031 RUCKER AVE E�erett sozot 425-343-5978 <br /> TE�JANT NAMC CONTACT FOR AERMIT pHONF <br /> Naida Khan 360-945-2787 <br /> . CONTRACTOR �A�CSCO ADDRESS CITV/LIP PHONE <br /> ��� 2300 Thorndyke SEATTLE 800-398-4463 <br /> coNra.uc�HSEr WASHIES971 OB <br /> USE OF 6UILDING MEAT SOUftCE I C�TRACT PRICE OF WORK <br /> i APARTMENT __ei�n��� �cas_o�her �{j� .�� <br /> wORK DESCRIPTION <br /> � REPLACECOfv1MERCIAL GAS WATER HEATER <br /> LOCATION: IN DASEMENT OF APT. DLDG; SAME lEV[L AS GARAGE <br /> PLUMBING MECI�IANICAL <br /> NO. � TVPE OF I"IJCTUR[OR ITEM NO. IYPE OF FIXTURE OR ITEM � <br /> Toilel NC—air bandling units <br /> �alhtub Forced air systems <br /> � Lavatory(wash basin) + Gas piping <br /> � Shoxv:r i Water heater <br /> Ktichen slnk R tllsposal Gos fireptace <br /> Di�hwasher Gns range <br /> _ Clmhr_s washer Clothes dryef <br /> ' ` Laundry tray Range hood <br /> Sink(se�v�ce/Dar/mop/etc.) Exhaust fan <br /> DeckOow proveMer Nent purnp <br /> � Urinal Unit heater <br /> Drinking FouNain � Boiler <br /> � Floordrain Refngem(ion <br /> Grease trap T Wocdstove <br /> � Roo(drains _ Other <br /> � Other ,_,_ <br /> CIN OP EVERGTT LOCAL SALES TAX CODE IS 7705 <br /> i hereby ceritiry that I have reaa and examined tnis application and know the same ro be true and correct. All provisions of iaws antl <br /> orCinace�goveming thia typc ofwo�h Hill be compiied with whnher specited herein vr noL 7he granliny uf e peinul dues not presume <br /> � lo give authonty to violate or cancel the provision of any olher state or local law regulating construction or the pertortnance of <br /> c.nstruc,ion.That I am autho qed by the owner ollBis propery m pertorm the work for which applicotion is made and I comply wlth the <br /> s�nfs contrano .�w io. Qwand 70G.200 W�C. <br /> I �� �� ���� <br /> SiqnaWre ot vner� pat17Ct0�lAuthoni2d AgeM — pa <br /> � _ \�% <br />