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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — wu✓w.everethva.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM 6- 3-� 3 <br />SITE ADDRE55 <br />3302 RUCKER AVE #BMT <br />LEGAL LOT NO. BLOCK <br />DESC. <br />PAUL � LAUREN SAYESKI <br />TENANTNAME <br />CONTRACTOR �A/ESCO <br />�� <br />CONTR.LICENSEd WASHIES97 IOB <br />USE OF BUILDING <br />Residential <br />WORK DESCRIPTION <br />PARCEL TAX I.D. # <br />OOd37578803100 <br />TRACT <br />3302 RUCKER AVE <br />ICONTACT FOR PERMIT <br />Jennifer Burgess <br />ADDRESS <br />3909 196 St SW, <br />HEATSOURCE <br />_ Electric � Gas _ Other <br />REPLACE 40 GALLON GAS WATER HEATER <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />BalhWb <br />Lavatory (wash basin) <br />Shower <br />�� Kitchen sink E disposal <br />Dishwasher <br />Gothes washer <br />Laundry [ray <br />Sink (service/bar/mop/etc.) <br />Backllow preventer <br />Urinat <br />Dnnking Fountam <br />Floor tlrain <br />Grease trap <br />Roof draln� <br />� Other <br />PERMIT # <br />Everetl 98201 a:s-aas-ozi3 �Tc�a�t aacnc+� <br />PHONE <br />206-774-9499 <br />qTY/ZIP PHONE <br />�ynnwood seo:�s $00-398-4663 <br />CONTRACT PRlce or w�nn <br />$750 <br />L! <br />NO. I NPE OF FIXTURE OR ITEM <br />A/C—airhandling units <br />Forced air systems <br />Gas piping <br />i Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Ezhaustfan <br />Heat puinp <br />Unit ,ieater <br />Botler <br />R�frigeration <br />Woodsta+e <br />CIN OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby cerihty thet I have read and examined this applicaUon and knowthe same to be lrue ard correct. All prwisions of laws and <br />ordinaces governmg thistype ot work will be complied with wheMer specifled herem or not. The grant�ng ol a permit does not presume <br />to gNe euthc�ity to violata or cancel the provision oi any oiher state or local law regulating construction or the pertormance of <br />construction. ',-hat I am aulhorized by the owner of this property [o perform the �wrk lor whkh applicalion is made antl I comply with the <br />State Contrectors Law 18'_7 RCW antl 296200 WAC. <br />iaau.�ry �.:�,�e ��r ,��w, mua�,v <br />Jennifer Bur ess �,�,�-��„�.,.�,,,�t,...,,_.,,,�:.,s,,.�,.�,.�,,.,�.:,,,,,,z, <br />I11A'll, tt��ll-Ih•�•���'���""l`�rmC[aT nU5 <br />—Mn.+e•!TL . ._ . .., r�_�_ <br />