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—�— - - _ <br />PERMIT APPLICA,TI�DN <br />CITY OF cVERE i T PER.MIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-SH10 — FAX 425-257-8857 — www.evr-ethva.oig <br />APPLICATIONS ARE ACGEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. ft PERMII # <br />5.5626 B�VERLY LN 1 ooai�s00000soo ___ ' �iU - p3� _ <br />— - _ �-__ <br />OLOCV: <br />LEi,4l LOT NO TRACT <br />DcSr_ <br />__—.____. -_ <br />OWNER --- � --�----�� ADORE55 qTY�21P PHONE <br />�626 BEVERLY LN Everen ��n2ot 425-346-8101 <br />CONTACT FOR PERt.11T � � PMOt1E <br />Jennifer Burgess 206-774-9499 <br />� � ADDAESS QNlZIP PHOIlE <br />3°09 196 St SW, -r'^"v.°'° yY;;'6 500-398-4663 <br />PAM S SORENSON <br />TEIlANTI�AI.1E � <br />...__._.__.._. __ <br />CONTRACTOR \A/ESCO <br />vv <br />CONTR. LICENSE y WAS H I ES971 OB <br />..__. _______. <br />�USE OF BUILDIt�G � '�. <br />Residential <br />WORK DESCRIPTION <br />HEAT�SOURCE <br />_ Elecln: � Gas _.__ Ct^,er <br />REPLACE 40 GALLON GAS WATER HEATER <br />NO. I TVPE OF FI%TURE OR ITEtd <br />Tatlel <br />�athtub <br />Lavatory (vnsh nas�n) <br />ShON'Cf <br />K�lChen 5ink E Aisposai <br />Dish�vasher <br />flotnes washcr <br />Laundry t�ay <br />SinY. (ServiCelbaVmoplelC ) <br />Bathllow prcveNcr <br />Unnal <br />prink�ng Fnunlain <br />Flnnr drain <br />Greasc trap <br />Root tlriins <br />Other --- .---.- <br />I CONTRACT PRICE OF WORIt <br />I, $750 <br />CAL <br />NO. I TVPE OF FIXTURE OR ITELI <br />� <br />,VC - a�r t�antlbng u���ils <br />Fortetl art systems <br />Gas p�pmg <br />W.ter healPr <br />Gas hreplaCe <br />Ga5 range <br />CioU�cs dryer <br />Rangc hootl <br />E�haustfan <br />�ir.at pump <br />Unit heater <br />fioiler <br />RcingeraUon <br />Wooastwe <br />OC�er <br />CITY OF EVERETT LOCAL SALES TA7( CODE IS J10S <br />I hereby cenhfy that I have read anA e.ammed this apFLcaLon antl hnowthe same �o be Lue and Conr,ct �9 pro. �sions of lavra and <br />ora�naces yoveming this type of wrork �+nil be complie0 H�rth whelher speulietl tiere�n or not TY,n granLng of a perm.��; does not presume <br />IO gNe aUthOnty to violate or canCel the provi5lon ol anj� OfhM SIatC or IOcdl law regul. tin(J CDnSiruc.lion or Ihe �Cllofm:lnCC ol <br />ConStfudi0n i h.lt I am au�hOniCA by the Ovmc� ot this property to pehGrm lhe �vofF. for whKh app��caho�� is maAe and I mmpty •.vAh !he <br />St3te Contraetore Law 16 77 RCW an0 296 ?00 WAC <br />nynsy c.�.a nr �mmrn nu.qn. <br />J e n n i fe r B u r ec�s.< <�„ �,.:�,..:., ��,,.,. �.,,��,�.:�:,,,Pv„ ,,,_,��,,:.,,, <br />H IW II. �m tll_�n n�lnah�nvnml¢m o US <br />��1t.nR�r�— �i)�e <br />Siynature ol OwneUContracto �uthon_co Xijer�"'�" <br />