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f <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 320� CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857—www.evereriwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 2230 RUCKER AVE # NORTH 00439148201700 �— �_ <br /> L[G4L LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS dTYIZ�P PMONE <br /> ANTHONY MARTINIS Sr+ME AS SITE ADDRESSS everett se2o� 425-583-3439 <br /> TENANT NAME I CONTACT FOR PERMIT PHONE <br /> �Cyndal/Naida 360-945-2787 <br /> CONTRACTOR 1AIESCO �+DDRE55 dN21P PHONE <br /> VY 2g00 Thorndyke SEATTLE 800-398-4663 <br /> CONTR.LICENSE N`^,ASHIES9I I OB <br /> 11V <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> residential ._e�e�c��� �Gas_Other 4735.00 <br /> WOR'< DESCRIPTION <br /> REPLACE GAS 50 GALLON HOT WATER HEATER <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. NPE OF FIXTURE OR ITEM <br /> Toilet A/C—air handling units <br /> Bathtub _ Forced air systems <br /> Lavatory (wash basin) _ Gas piping <br /> Shower i Waler heater <br /> Kitchen sink E disposal _ Gas fireplace <br /> Dishwasher _ Gas range <br /> Clothes washer Clothes dryer <br /> Lamidry Iray _ Range hood <br /> Sink(service/Uar/mop/etc.) _ Exhaustfan <br /> Backflowpreventer _ Heatpump <br /> Urinal Unit heater <br /> _ Dnnhing Fountain Boiler <br /> Floor drain _ Refrigeration <br /> Grease trap _ Wootlstwe <br /> Roof tlralns Other <br /> Other <br /> CITV OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby cenUty that I have read and examinetl this application and hnow the same to be true and correct. All prwisions of laws and <br /> ordinaces govemmg this type ot work H�II Ue comphed�+nth whether speahed herein oi not. The granting oi a permR does not presume <br /> to grve authonty to violate or cancel the provision of any other state or local law regulating mnstruction or Ne peAormance of <br /> construction. That I am authorizetl by Ihe o�mer of this property to perform lhe�wrk iot whkh apphcation is matle antl I mmply wiih the <br /> Siate Contractors Law 1827 RCW antl 296.200 WAC. <br /> -'- - 7/19/11 <br /> Signature of Owner/Contractor/Authorizetl Agent Date <br />