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PERMIT �4PPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 42r257-8857—Nm�w.evereth•ra.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ��" ab `-I� <br /> SITE ADDRESS PARCEL TAX I.D. # PERMIT t� <br /> 1503 45TH ST SE ooao�aoonoo�oo I �� 1 - 5 � <br /> LEG4L LOT N0. BLOCK TRACT <br /> D^S�. <br /> OWNER ADDRE55 GTY21P PHONE <br /> LINDA J ERICKSON 1503 45TH ST 5E 98203 425-259-2286 <br /> TE��Af1T NAIdE I CONTACT FOR PER�.11T PMONE <br /> Jennifer Covello 206-774-9499 <br /> CONTRAGTOR \A/ESCO ADDRESS dTY21P PHONE <br /> VV 3909 196 St SW, �yn^"o�� 9e��� 800-398-4663 <br /> COIJTR. LICENSE u,A/AS H I ES9 I I O B <br /> VV <br /> USE OF BUILDItJG ��� HEAT SOURCE CONTRACT PRICE OF WORK <br /> RES I _eiectnc ��as_otner 950.00 <br /> WORN DESCRIPTIOII <br /> REPLACE 40 GAL GAS WATER HEATER ' <br /> PLUMBING MECHANICAL <br /> NO, Tl'PE OF FIXTURE OR ITEId NO. NPE OF FIxTURE OR ITEtA <br /> Toite[ AIC—air hanC�m� units <br /> �athtub Forcetl au systems <br /> :avatory (wash basin) Gas UiPing <br /> Shower i Wa�er heater <br /> kdchen s�nk 8 disposal Gas hrepiace <br /> DiShv.aShef Gas range <br /> ClOtheS washft Clplhe5 tlfyer <br /> Launaiy tray Range huod <br /> Smk (service/barlmop/etc ) E�haustfan <br /> Backflow preventer Heat pump <br /> _ Urmai U��it healzr <br /> __ Dnnhing Fountain Boiler <br /> Hoor dram Reingeration <br /> Grease trap Woodstrne <br /> _ Roof drains Olhcr <br /> Other <br /> CIN OF EVERETT LOCAL SALES TPJ( CODE IS 3105 <br /> I hereby centity that I have read and examined this application and know the same to be true anJ correct All prwisions of laws and <br /> ortlinaces governing Ihistype ot v.ork Nnll be comphetl w�th whether speahetl herein or not The giantmg of a permd tl^es not presume <br /> to grve authonry to violate or cancel ihe provisien ol any other s[ate or local law reoulatino co�struction or the pertormz�ce ol <br /> construction. Tha[I am authonzed by the owner o` this property to pertorm the v,rort lor vhich apphcation is made antl compry with �he <br /> State Gon[raclors Lav+18 27 RCW and 296 20C WAC <br /> O�qP.n;yrrbi�rrnllnCv:nt <br /> Jennifer Bur�ess "'��nrSnOmyer�e=Nflllf/.19t4FNna�ICf•I�ff.t5� <br /> GLM"I.hn.�.l ���.ntni:nal�nrc.l:.(cT�-Ui <br /> Si3natureolOwner/Contracto �Autnon_rtl ' ert � � �' Date <br />