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;. <br /> d <br /> , <br /> PERiVIIT APPLICATIOiV <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 �'�y " �I <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 1520 41 ST ST 0198507 1 I � <br /> LEGAL LOT NO. BLOCK TRACT <br /> D[SC. <br /> OWNER ADDRESS pTYRIP PHONE <br /> IVARS INC SAME AS SITE AUDRESSS Everett 98201 425-252-9292 <br /> TENMJT NAME CONTACT FOR PERMIT PHONE <br /> Cyndal/Naida 360-945-2787 <br /> CONTRACTOR \A/ESCO ADDRESS dTY21P PHONE <br /> V V 2800 Thorndyke SEATTLE 800-398-4663 <br /> CONTR.LICENSE#�n/ASHIES9! �OB <br /> Vv <br /> USE OF BUILDING HEAT SOURCE I CONTRACT PRICE OF WORK I- <br /> f'0 <br /> �:i <br /> COfTlillEflCa� _E;ectric �Gas_Other � 3500.00 � <br /> � <br /> WORK DESCRIPTION <br /> replace 75 gallon hot water heater (storage room next to the door) <br /> — PLUM9ING MECHANICAL I <br /> NO. TYPE UF FIXTURE OR ITEM NO. 'fVPE OF FIXTURE OR ITEM — <br /> Toile[ A/C –air handling units <br /> —� Bathtub _ Forced air systems <br /> Lavatory (wash basin) _ Gas piping <br /> Shower i Wa[er heater <br /> Kitchen sink&disFosal _ Gas fireplace <br /> Dishwasher _ Gas range <br /> Clolhes washer _ Clothes dryer <br /> Laundry tray _ Range hood <br /> Sink(service/bar/mopletcJ _ Exhausffan <br /> Backflow preventer _ Heat pump <br /> Urinal _ Unitheater <br /> Drinking Four[ain _ Boiler <br /> Floor drain _ Refrigeration <br /> Grease trap _ Woodstrne <br /> Roof drains _ Other <br /> Other — <br /> — i I <br /> CITY OF EVERETT LOCAI S4LES TAX CODE IS 3105 <br /> 1 hereby ceritity that I have read and examined Ihis application and know ihe same to oe true and correct. All provisions of laws and <br /> ordinaces governing this:ype of work will be complied with whether specified herein or noL 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 mnstruction or the pertormance ot <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 Cnn[ractors Law 18.27 RCW and 296200 WAC. <br /> T__'- .-, 8/3/11 <br /> Signature of Owner/ContractodAuthorizetl Agent ��te <br />