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( <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810—FAX 425-257-8857—�wvw.everettwa.orp <br /> APPLICATIONS ARE ACCEPTED FROM 6 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.• PERMIT R <br /> 2222 WETMORE AVE o0439147902200 �203-0 g <br /> LEG4L LOT NO. BLOCK TRACT <br /> DESC. <br /> OWNER ADD ESS C7V2IP PMONE —' <br /> MARINA A MAGPATOC same as site address 96201 360-331-5627 <br /> TENANT NAME � CONTACT FOR PERMIT PHONE <br /> Cyndal/Naida 360-945-2787 <br /> CONTRACTOR wESCO �RESS QTV21P PHONE <br /> corirR.uceNse« 2800 Thorndyke SEATTLE 800-398-4663 <br /> WASHIES971 OB <br /> U3E OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> residential I _Electric �Gas_Other 7�j�.QQ <br /> WORK DESCRIPTION <br /> REPLACE GAS 4G GALLON HOT WATER HEATER <br /> PLUMBINO MECHANICAL <br /> NO. TVPE DF FI%TURE OR ITEM NO. TYPE OF flXTURE OR ITEM <br /> Tollet AIC—air hanCling unlb <br /> Bathtub Forced alr systems <br /> Lavatory(�+ash basin) Gas piping <br /> Shower i Water heater <br /> Kttchen slnk&disposal Gas fireplace <br /> Dishwasher Gas ranga <br /> Clothes washer Clothes dryer <br /> Laundry tray Range hood <br /> Sink(service/badmop/etc.) Exhaust fan <br /> Backilow preventer Heat pump <br /> Urinal Untt heater <br /> Drinking Fountafn Boiler <br /> Floor drain Refrigeretion <br /> Grease trap Woodstwe <br /> Roof drains Other <br /> Other <br /> pN OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby cerftify that I have read and examined lhis application and knowthe same to be true and correct. All pro isions of laws and <br /> ortlinaces governing this type of work will be complled with whether specified hereln or not.The grenting of a permit Coes not presurtu <br /> to give authority to violate or cancel the provision of any other state or local law regulating eonstruMion or the pertormance of <br /> construction. That I am authorized by the owner of this property to pertorm the Nork for wfikh applfcation is made and I compiy wfth the <br /> State Contrectors Law 1827 RCW and 296.200 WAC. <br /> , <br /> T.<` -..=-<.. -. 3/26/12 <br /> Signature o vner/ ontrectoU uthorizetl gent ate <br />