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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8257 — wvwd.everettwa.org <br />/1PPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �� ll — � 3 <br />SITE ADORESS PARCEL TAX I.D. # <br />5725 BEVERLY LAN� 0073�000o03aoo <br />LEGAL LOT NO. BLOCK TRACT <br />LGSC <br />OWNER ADDRE55 <br />MANUEL ANU CHERYL PRIETO 5725 BEVERLY LANE <br />TENANT NAME <br />CO�ITRACTOR \A/ESCO <br />vv <br />CONTR. L!CENSEu WASHIES971 OB <br />USE OF BUII.DING <br />Residential <br />WORI( DESCRIPTION <br />CONTACT FOR PERMIT <br />Jennifer Burgess <br />ADDRE55 <br />3909 196 St SW, <br />HEATSOURCE <br />_ Eleanc � Gas _ Other <br />Install tankless water heater with 68' gas poiping <br />NO. I TYPE OF FIXTURE OR ITEM <br />Totlet <br />Balhtub <br />Lovatory (�vash basin) <br />Shower <br />Kitchen sinh 8 disposal <br />Dishwasher <br />Clothes washer <br />Lamidry Iray <br />Sinh (serviceNaUmop/etc.) <br />BacMlow preventer <br />Unnal <br />Drmhing Fountain <br />Floor drain <br />Grease trap <br />Root drains <br />Other <br />NO. <br />PERM7,IT # <br />��'� �'/% �i _ ��.��� <br />Evereu 9e2o3 425-330-8214 <br />PHONE <br />206-774-9499 <br />qTV21P PHONE <br />�ynnwood stsose $00-398-4663 <br />CONTRACT PRICE OF WORK <br />•1 1:1 <br />MECHANICAL <br />TYPE OF FIXTURE OR ITEM <br />A!C — air handling units <br />Forced air systems <br />Gas piping . 1. .,.. (e. <br />Water heater i ' <br />Gas hreplace <br />Gas range <br />Clothes tlryer <br />Range hoocf <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Boiler <br />Relrigeration <br />Wootlstwe <br />CIN OF EVERElT LOCAL SALES TAX COOE IS 3105 <br />i hereby centity that I haae read and examined this apphcatwn and hnow the same to be Irue and correct. All prwisions of I�ws antl <br />ord�naces governmg this type of worh wnll Ue complietl with whether specihetl herein or not. The grantmg ot a permit does nct presume <br />to �rve authonty to violate or cancel the provision of any other state or local law regwating mnsirucUon or ihe pertormance ol <br />consvuCion That I am authorced by the owver ot this property ro periorm the worh tor which appiicaUon is made antl i mmply viiUi the <br />::4ate Contraetors Law 18 27 RCW and 296 200 WAC <br />i �.� y:�r� ,i ��„-.: i„ .�,����i„ w,,.�„ <br />J e n n i f e r B u r� e s s �,, ,,�,,.,,,,,,,,,�,, „.,,,,,_�,� „�..�, ,, ,r,,,,,:.,,� <br />Illu:ll ��n..nl In,��iln✓r«Pnmi�.camoUf <br />5ir�nawre ot O�.vner/Coniracto �utl�on�ad A e� � � �� Da[e <br />