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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 — wv�nv.everethva.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />S�TE ADDRESS <br />3302 RUCKER AVE #UPR <br />LEGAL LOT NO. BLOCK <br />DESC. <br />PAUL & LAUREN SAYESKI <br />TENANTNAME <br />CONTRACTOR �A/ESCO <br />VY <br />CONTR. LICENSE #� A�AS H I ES97 I O B <br />Vv <br />USE OF BUILDING <br />Residential <br />WORK DESCRIPTION <br />PARCEL TAX I.D. 11 <br />00437578803100 <br />TRACT <br />3302 RUCKER AVE <br />ICONTACT FOR PERMIT <br />Jennifer Burgess <br />ADORESS <br />3909 196 St SW, <br />HEATSOURCE <br />_ Electric � Gas_ Other <br />REPLACE 30 GALLON GAS WATER HEATER <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />BathtuU <br />Lavatory (wash basin) <br />ShOwer <br />Kitchen sink E tlisposal <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sink (service/bar/mopletc.) <br />Bachflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other __ <br />� �3-�3 <br />PERMIT � <br />�i�(� 3G�- oD5 <br />everett 9820� 818-632-3196 <br />PHONE <br />206-774-9499 <br />qN21P PHONE <br />Lynnwoad 9803fi $00-398-4663 <br />CONTRACT PRlce or wunn <br />$750 <br />NO. I NPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />i Water heater <br />Gas tireplace <br />Gas range <br />Clolhes dryer <br />Range hood <br />Exhaustfan <br />Heatpump <br />UNi healer <br />Boiler <br />Retrigeration <br />woodstwe <br />qN OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify that I have read and examinetl Ihis application and hnow the same to be Irue and correcL All provisions of laws antl <br />ordinaces governmg this type of �wrh �^nll be complied wiUi whelher specified herein or not The granhng of a permit does not presume <br />to give authority to violate or cancel the provision of any other state or local law regulating wnstruction or the pertormance oi <br />construcUon. That I am authorized Uy the owner ot this property to perform the work for whkh application is made and I comply wdh the <br />State Contractors Law 1R27 RCW antl 296.200 WAC r nt <br />�en n ifer Bu rc�ess ,,�,�.;�,,_,,;�,,�,:,,,,�,�..;�m��°,m����s �,..,,.,��,,,,_,�, <br />