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.., r .•.>- .,. � sou-o+.on aw oes io.wr, .nneweooen� r•n... o-am..r. ow-m- <br /> 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 /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM 4 _O _ )L/ <br /> SITE ADDRESS PARCEL TAX I.D.M PERMIT 0 <br /> 2509 80TH PL SE 00691100000200Im -01 <br /> LEGAL LOT NO. BLOCK TRACT <br /> DESC <br /> OWNER ADDRESS CITViLP PHONE <br /> BRUCE W DICING 2509 BOTH PL SE Everett 98223 425-344-7281 <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> IJENNIFER COVELLO 206-774-9499 <br /> CONTRACTOR WESCO ADDRESS CITYIZIP PHONE <br /> 3909 196th St SW Lynnwood 800-398-4663 <br /> CONTR.LICENSE tr WASHIES9710B <br /> USE OF BUILDING HEAT SOURCE I CONTRACT PRICE OF WORK— <br /> RESIDENTIAL _Electric k4-1 Gas_Other 950.00 <br /> WORK DESCRIPTION <br /> REPLACE 50 GAL GAS WATER HEATER <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> _ Toilet AIC—air handling units <br /> _ Bathtub Forced air systems <br /> _ Lavatory(wash basin) Gas piping <br /> _ Shower �_ Water healer <br /> Kitchen sink 6 disposal Gas fireplace <br /> _ Dishwasher Gas range <br /> _ Clothes washer Clothes dryer <br /> _ Laundry tray Range hood <br /> _ Sink(sorvicelbarlmopletc) Exhaust ran <br /> _ Backflow preventer Heat pump <br /> _ Urinal Unit heater <br /> _ Drinking Fountain _ Boiler <br /> _ Floor drain _ Refrigeration <br /> Grease trap Woodstove <br /> _ Roof drains _ Other <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby centify that I have read and examined this application and know the some to be true and correct All provisions of laws and <br /> ordinates governing this type of work will be complied 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 slate 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 <br /> Jennifer Covello <br /> Signature of OwneriContiaclorl uthonied gent ate <br />