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( � <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 r� a $—(3 <br /> SITE ADDRESS PARCEL TAX I.D.N PERMIT M <br /> 620 ALVERSON BLVD o0388700000200 {til l3 — ✓-r <br /> LEG4L LOT NO. BLOCK TRACT <br /> DESC <br /> ONMER ADDRESS dTV21P PHONE <br /> JOHN HADFIELD 620 ALVERSON BLVD Everen 9e2o� 425-252-2142 <br /> TENlWT NAME CONTACT FOR PERMIT PMONE <br /> Jennifer Burgess 206-774-9499 <br /> CONTRACTOR WESCO A�DRE88 QTV21P PNONE <br /> 3909 196 St SW� Lynnwood 98036 800-398-4663 <br /> CONTR.LICENSE N wAS H I ES97�OB <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> Residential _e�e�c��� �Gas_Olher $4168.00 <br /> WORK DESCRIPTION <br /> GAS TO GAS TANKLESS WATER HEATER WITH 40' OF GAS PIPING <br /> PLUMBINO MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TVPE OF FIXTURE OR ITEM <br /> Toilet A/C—alr handling units <br /> Balhtub ForceC alr systems <br /> Lavatory (wash basin) ± Gas piping <br /> Shower + Water heater <br /> Kitchen sink 8 disposal Gas fireplace <br /> Dishw�shar Gas range <br /> Clothes washer Clothes dryer <br /> Laundry tray Range hood <br /> Sink(service/badmop/elc.) Exhaust tan <br /> 8ackflow prevanter Heat pump <br /> Unnal UnR heatcr <br /> Dnnkmg Fountaln Boiler <br /> Floor drain Rafrigeration <br /> Grease trap Woodstwe <br /> Rool tlrains Olher_ <br /> Olher <br /> GTV OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby cerrtity that I have reatl and examined thls application antl know tha same to be true and correct. All prwisions of laws and <br /> ordinaces governing thistype af work Nnll be comphed vnth whelher specihed herein or not The grantmg oi a permt does not presume <br /> to grve authonty to vlolate or cancel lhe provision of any othcr state or local law regulating mnstruction or the pertormante ol <br /> construction That I am authori�ed by the owner of lhis property to perlorm the work ior which application is made and I rnmply with the <br /> Sfate Contractors Law 1827, RCW antl 296 200 WAC. <br /> c IllJP1M Yi�'�Iry Im�Me burynf <br /> Jennifer Bur �J� �����wrnnlntlwqr�ta•bOM��MM1SINFMI�,uu•IONIIIWlSI <br /> rlwnn.nnui.p.vwn�n..p..�x:mm nus <br /> Signature o wneUContracto uthori�a e � ate <br />