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PERMIT APPLICATION <br />t+�Tv nC K�/Csecrr �F�I�I�IT e�e�i�r-co <br />3200 CEDAR 37REET, EVERETT, WA 90201 <br />425-257-pfi10 - FAX 425-257•8857 - vnvw.evereltwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE �DDRESS PARCEL TAX I.D. fi PERMIT p <br />7009 BEVERLY 13VD 28050700102700 n,,�;E�,- �� <br />L�GAL L9T N0. BLOCK TRACT <br />JEANN� JARLINSKS 7009 B�VERLY DVD, Everett 08203 4�5 374 7140 <br />7ENANT NAME I CONTACT FOR PERtdIT PHONE <br />I IJniJu Klinn/N�illiwCal f'vniill Inu JIiG'y4J-G%O% <br />CONTRACTOR WESCO AOUR[SS CITY2IP PHONE <br />CONTR.LICENSEA WASHIES971 OB Z800 Thorndyke Ave W seatt�e, 98199 206-378-6649 <br />US[ OF BUILDING <br />Residential <br />HEATSOURCE <br />`Blearic x Gas._Other <br />WORK DESCRIPTION <br />Replacing a gas to gas 50 gallon water heater <br />NO, I TVVE OF FIXTURE OR ITEM <br />Tudet <br />� �alhfub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />� D�shwasher <br />- Cicthes washer <br />Lounory Iray <br />SIOk (SeroicC/bodrnoplelc-) <br />Unnal <br />Dnnklr.� Foarto�n <br />fl,or dru�n <br />Grease vap <br />Fioof dr, �ns <br />Othcr <br />PRICE OF WORK <br />S950.00 <br />N0. I TYPE OF FIX7URE OR REM <br />A!C - eir hantlling units <br />Forced air systems <br />Gas plpin� <br />+ Water heater <br />Gas fireplace <br />Gns range <br />Clmhes dryer <br />Range hood <br />Ezhaust tan <br />� Unit heatyr <br />Ooder <br />Re��craliun <br />Woodstove <br />CITY OF EVERETT LOCAL SALGS TAX CO�E IS 370G <br />I hereby centify that I have read and exen,ined this appl:cauon and know the sarne to be true and corred. Ail prov�sions of iarrs and <br />� �reinaces goveming mis cypr, or vmrk vnn ue compneo �+nm wne�ner spec�nea nere�n or noc. i ne granung or a perm�t does not presume <br />I m give authcrity to vio'ate or wncel the provision o� an�• other state or local law regulaUng con,trudion or the per(ormance of <br />' •ob�.i����. Ti�ui i o� uutl-�iicc� Lj ii,c vnuc� vf une N�vyery w yr�Min iiie w�ih Ni �vi�i�u aVV���advn ia iueue enu i cuiuN�y .vmi uitl <br />I Ctate Conmraaors Laq.py 10 ^7 RCW and 290.200 WAC <br />�'l.'/�'i'iryl�' -.�' � �1�"VI � �Gt)V� <br />