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119 �' �'-' Ct? 15: 541 FROM- <br />31T[ AUORE35 <br />?011 93rd St SW <br />l.CC1ALf LOTNO. <br />nrsc � <br />PERMIT APPLICATION <br />CITY OF EVERE7T PERMIT SERVICES <br />3200 C[DAR STR[[T, [VERETT, WA 98201 <br />425-257-A810 — FN( 425-257-et357 — www.everettwa.org <br />APPLICATIONS ARE ACCEPT[D FROM 8 AM TO 4 PM <br />PARCGL TAX I.D. N <br />00534000001400 <br />BLOCK IRACT <br />T-�33 P�02/��2 F-k169 <br />� --� 6 --O _ <br />PERMIT N <br />�m�U�Da� <br />Jean Middleton 1011 93rd St SW, Everett 98204 425-355-0316 <br />iI-NANT NAM[ ~ CONTACT FOR PERMIi PHON[ <br />Melissa CrodA/Noithwesl Parrrlit Inc 360-9A5-2787 <br />CONiRACTOR �A�FSCO � �DDRESS CITY/2iP pHONf• <br />VV <br />CONTR.Lic1:NSE� wASH��S97106 2a001�homdykeAv;:W SeaUle,981�J9 206-378-6649 <br />USE OF DUII.DING <br />Residential <br />HEA7SOURCE <br />_Cly�fnc %� Gas.,plher <br />WORN DESCRIPTION - <br />Replace a gas to gas water heater - 40 gallons <br />- — - -- - - --- -- <br />PLUMBING <br />NO. TVP[ O! 1'I%TURE OR nf M <br />Tailel --�.. __--�----�---- <br />_ Cialhlub <br />Lava�ory (wnsh basin) <br />Shower <br />: Kitchen sink d tlisposal <br />n�yi,wa5n�� <br />Ciothes washer <br />Laundy Iray <br />Smk (sarvi�;ePoar/mop/alc.) <br />_— [iark110w p�evenlei <br />Urinal <br />Ormkmp pouNain <br />Floor dra�n <br />� G�easatrap <br />Ruof drams <br />Other <br />CONTHACT PRIC[ OF WORK <br />$950.00 <br />N0. I TYPE OF �i%tuRC OR ITEM <br />__ NC - oir hanqlmp Units <br />Farced ai� systems <br />Gas pipinp <br />! Waterhenter <br />^ Ga5 firep!ace <br />� Gas iange <br />CIUlh06 tlfyPf <br />Rangehood <br />„_ EMhausl fan <br />Henlpump <br />`. U�ul healer <br />-- poilor <br />Reinge�auon <br />` Woodstovb <br />Omnr <br />CiTY UP EVEREI T LOCAL SALES TnII CUDF !o E1u5 <br />I he.rabyCRnlily tha� I hnvB �cad en0 OxBOtv �:d Ihi6 appfiC3lion and knOw �hr, snrn9 �0 bB Irue and CO«CCI Atl provigions ol laws antl <br />o�0inna!, gnveming this �ypr. ol work Hill hr comp6etl with whether a0edf�ed herem or nol. ihe pranling of a permit does nol µBcuRle <br />tu givr. nulhonty lo vlolnte. oi cana!I Ihe pioviswn ef any other slatr. or local law repulating tons!rudion or �he peAormance ol <br />con5lmGion That I nrn aulhonzetl by U�e own¢� o! this property lo pnrtorm tlte wolk !or w4ich npPlicetion Ie m2de and I comply wilh Ihe <br />Sta1e pontracturs Law 1B.P1 RCW untl 29820D WAC. <br />ISipnaWreolpwner%Con�repan,\ulhonrad genl p�te <br />