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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET. EVERETT. WA 98201 <br />425-257.8810 — FAX 425-257-8857 — wvvw.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS PARCEL TAX I.D. # <br />7826 BEVERLY LN 005987000 '2002 <br />LEGAL LOT N0. BLOCK TRACT <br />DESC <br />MARCELSEYSS <br />TENANT NAME <br />CONTRACTOR WESCO <br />CONTR. LICENSE a WASHIES971 OB <br />USE OF BUILDING <br />Residential <br />WORK DESCRIPTION <br />Replace 40 gal gas water heater <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sink (service/bar/Mop/etc) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />7826 BEVERLY LN <br />(CONTACT FOR PERMIT <br />Jennifer Burgess <br />ADDRESS <br />3909 196 St SW, <br />HEATSOURCE <br />Electric k/_ Gas —Other <br />PERMIT # <br />�M � 2t l - o <br />Everett 98203 425-290-8701 <br />PHONE <br />206-774-9499 <br />CITYIZIP PHONE <br />Lynnwood 98036 800-398-4663 <br />C)NTRACT PRICE OF WORK <br />$750.00 <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Water healer <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaust tan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />WOedstove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify, that I have read and examined this application and know the same to be true and correct. All provisions of laws and <br />ordinaces governing this type of work will be Compiled with whether specified herein or not. The granting of a perrrvt does not presume <br />to give authority to violate Or cancel the provision Of any other state or local law regulating construction or the Performance of <br />:Onstruction Th,,t 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 Contract,, C Law 19 27 RCW and 296.200 WAC. <br />JenniferBurgess Da vnhnNnlvgHt n.apNa W151 ipbry[w.Ip111W[ji <br />YrM41.mm.imNlermpnmhto,� t.uS <br />signature Or Owner/Contractn n�enss� Z <br />