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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 — www.everettwa.org <br />S TE ADDRESS <br />1321 RUCKER AVE <br />LEGAL LOT NO. <br />DESC <br />OWNER <br />SHELLEY PATTISON <br />TENANT NA. E <br />CONTRACTOR WESCO <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM —7 � I <br />1PARCEL TAX I.D. # PERMIT P <br />0438524401100 <br />BLOCK 7 TRACT <br />SAME AS SITE ADDRESSS Everett 9820/ 425-239-9650 <br />CONTACT FOR PERMIT <br />_ Cynda_I/Naida _ <br />ADDRESS <br />2800 Thorndyke <br />PHONE <br />360-945-2787 <br />OTY011 PHONE <br />SEATTLE 800-398-4663 <br />CONTR. LICENSE/1 WAS1 IIES97 10U <br />USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br />residential _Electric Gas _Other _ 750.00 <br />WORK DESCRIPTION <br />REPLACE CAS 40 t)allon hot water heater <br />PLUMBING <br />NO. I TYPE OF FIXTURE OR ITEM <br />_ Toi at <br />_ Bs ,htub <br />_ Lavatory (Wash bae.n) <br />_ `:hwwer <br />Kitchen sink 8 disposal <br />Dishwasher <br />_ Clothes washer <br />Laundry tray <br />Sink (service/bar/tnop/etc ) <br />_ Backflow preventer <br />_ Urinal <br />Drinking Fountain <br />Floor drain <br />_ Grease trap <br />Roof drains <br />Other <br />HAN—CA L <br />NO. I TYPE OF FIXTURE OR ITEM <br />_ A/C - air handling units <br />_ Forced air systems <br />Gas piping <br />t Water heater <br />_ Gas fireplace <br />_ Gas range <br />_ Clothes dryer <br />_ Range hood <br />_ Exhaustfan <br />_ Heat pump <br />_ Unit heate, <br />_ Boiler <br />_ Refrigeration <br />_ Woor'stwe <br />Olhar <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceitt fy that I nave read and examined this application and know the same to be true and correct. All provisions of laws and <br />ordinates governing !his type of work will be compiled with whether specified herein or not. The granting of a permit does not presume <br />to give authority to violate or cancel the provision of any other state 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 18 27 RCW and 296 200 WAC. <br />6/29/11 <br />Signature— her ontractor ut onze gent at-6-e — <br />