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rERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />3509 Rucker Ave _ <br />Lt Al LOTNO. ULOCK <br />DESC.r 4 g 5 005 <br />John Dow <br />TENANT NAME <br />CONTRACTOR WESCO <br />CONTR. LICENSE N WASHIES971 OB <br />USE OF BUILDING <br />SFR <br />WORK DESCRIPTION <br />PARCEL TAX I.D. N <br />00451400500400 <br />TRACT <br />1 st Add <br />16 — f2—ot <br />3509 Rucker Ave Everett 98201 425-252-9366 <br />CONTACT FOR PERMIT PHONE <br />Melissa Croda 360-945-2787 <br />ADDRESS CITYMP —PHONE <br />2800 Thorndyke SEATTLE 206-378-6649 <br />HEATSOURCE CONTRACT PRICE OF WORK <br />Electric ✓ Gas —Other J950.00 <br />Replace Gas to Gas 50 Gallon Water Heater <br />PLUMBING MECHANICAL <br />NO. I TYPE OF FIXTURE OR ITEM NU. I TYPE OF FIXTURE OR REM <br />_ Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />_ Kitchen sink 6 dispor:,, <br />_ Dishwasher <br />Clothes washer <br />_ Laundry tray <br />_ Sink (service/bar/mop/etc.) <br />Backiflow preventer <br />_ Urinal <br />Urinking Fountain <br />_ Floor drain <br />_ Grease Ldp <br />Roof drains <br />Other <br />_ A/C — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />_ Gas fireplace <br />_ Gas range <br />Clothae dryer <br />Range hood <br />_ Exhaust fan <br />_ HOW pump <br />_ Unit heater <br />_ Boller <br />Refrigeration <br />_ Woodstove <br />Other <br />OrTY Or EV ERtTT LOCAL SALES TAX CODE 18 3105 <br />I hereby cerifify that I have read and examined ;his application and know the same to be true and correct. All provisions of laws and <br />ordinaces governing this type or work will be cnmpli"J with whathar cpcelfcd herein or nvt, The gianting of a permit does not presume <br />to give authority to violate or cancel the provision of any other stale or local law regulating construction or the performance of <br />construction. That I am authorized by the owner of this property to perform the work for which application is made and I comply with the <br />State Contractors Law IS 27 RCW and 296.200 WAC. <br />