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To� E Page 2 ot 3 <br />SITE ADDRESS <br />2415 TAYLOR DR <br />LEG�L LOT NO. <br />OESC <br />WILLI1IM S��LAMA <br />2p14�C7-30 00 47 26 (GMT) <br />w __ <br />PERP/IIT APPLICATIOf� <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />a25•257-8810 - FAX 425-257-8857 -www.everettwa.org <br />t�6B400U383 From Peboreh Shitlds <br />APPUCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ��- � J� <br />PARCEL TAX I.D. fl <br />00417000�00500 <br />9lOCK TRACT <br />2415 TAYLOR UR Everett 58203 425-290-7864 <br />7ENAN7 NA✓c CONTACT FOR PERMI7 PHONE <br />IJENNIFER COVELLO 206-774-9499 <br />CONTRACTOR �AIESCO ADDRESS GI7V/ZIP PMONE <br />�� 39�9 196tYi St SW Lynnwood 800-398-4663 <br />CONTR. LICENSE s WASH I ES971 OB <br />USE OF BUIIDING <br />RES <br />WORK DESCRIPTION <br />HEATSOURCE <br />_ [Icctnc � Gas _ Other <br />REPLACE 50 GAL GAS WATER HEATER <br />NO. I TVPE OF FIXTURE OR ITEM <br />To�lel <br />BalhWb <br />Lavatory (wash basin) <br />Shower <br />Krtchen sink 8 tlisposal <br />D�shwasher <br />Clothes washer <br />Lau�dry Iray <br />Sink (serviceibar/mopletc ) <br />Backllow prevenler <br />Urinal <br />Dnnkm� Fountain <br />Floor drain <br />Grease Irap <br />Roof drains <br />Othcr <br />CONTRACT PRICE OF WORK <br />$3600 <br />NO. I TYf'E OF FI%TURE OR ITEtA <br />WC - a�r hantl!m9 un�ts <br />Forced air sys!ems <br />Gas piping <br />Wa�er heater <br />Gas fireplace <br />Gasrange <br />Clothes dryer <br />Range hood <br />Exhaust lait <br />Heat pump <br />Un4heater <br />Boder <br />RefnyeraUon <br />Woodstove <br />O�hef <br />CITY OF EVERETT LOCAL SALES TAX CDOE IS J105 � <br />I hereby centify ihat I have reatl and examined Ihis appiicaDon and kno�.v the same to be true antl cortect Ail provisions of laws and <br />ordmaces governing th�s rype of work vnll be complied wdh whether spec�Ged herein or not �fhe granting of a permd does not presume <br />to grve authaity to vwlate or cancel the prov�swn of any other state or local law reguiahng construclwn oi ihe performance of <br />construcl�on That I am aulhomed by the owner of this prop�rty to perform the work for which application is made and I comply wnh Ihe <br />Slate Contrac�ors Law 18 ?7 RCW and 29�..7,qQ,�,Q&�,,, „io..e <br />Jennifer Covello °''��_.°�.,`°.� =;m'°�."",m°'.`°� <br />rtu�1-1�.n •.nf'�r- (.VS <br />n)m <br />Sgnature ol OwnedContraclorlAuthonie4 Agent � Date <br />