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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 — ww�d.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />604 E BEECH ST <br />LLGAI. LOT NO. BLOCH <br />GESC <br />OWNER <br />RICHARD MATHENY <br />TENlV�T NAME <br />CONTRACTOR 1�lESCC <br />�� <br />CONTR. LICENSE q`^,! S H I ES971 O B <br />vv <br />USE OF 6UILDING <br />Residential <br />WORK DESCRIPTION <br />PARCEL TAX I.D. # <br />00393400008500 <br />TRACT <br />604 E BEECH ST <br />CONTACTFORPERMIT <br />Jennifer Burgess <br />ADDRE55 <br />3909 196 St SW, <br />HEAfSOURCE <br />Electnc Y Gas _ Other <br />INSTALL MINI SPLIT MHEAT PUMP SYSTEM <br />Np, I T'PEOFFIXTUREORITEM <br />Talet <br />Ba�htub <br />Wvatory (�rdsh basln) <br />Showei <br />Krtchen sink & disposal <br />Dishwasher <br />Cloths5 washff <br />Laundry tray <br />Smk (service/badmop/etc ) <br />Backflow preventer <br />Unnal <br />Dnnking Fuuntair <br />Hoor dram <br />Grease trap <br />Rool tlrains <br />Other <br />NO. <br />r"J—ZZ �-t3 <br />�PERMIT # <br />Wt I305- D`f� <br />PHONE <br />Everett 9&20� 425-322-5217 <br />PHONE <br />206-774-9499 <br />pN21p PHONE <br />Lyrnwootl 9d03ti 800-398-4663 <br />CONTRACT PRICE OF WORK <br />6443.00 <br />L <br />TVPE OF FIXTURE OR ITEM <br />A/C — au handling unrts <br />Forced au systems <br />Gas piping <br />Water heater <br />Gas lueplace <br />Gas range <br />ClOthes dryei <br />Rangehood <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Boder <br />Retrigeration <br />Woodstwe <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br />I i��ereby cerRity that I have read and e+camined this apphcation and hnow the same lo be true ar.d correcl. All prwisions of laws and <br />ortlmar.es govemmg lhistype of work vnll be complietl �+nth whether speatietl herein or not The granhng of a permR tloes not presume <br />to gwe authonTy to violate or cancel the provision of any other statr or local law regulating mnstruction oi the peAormance ol <br />constructwn That I am authonzed by tht owner of this property to perform lhe v.nrk }or wh�ch application is made antl 1 comply with the <br />:;tiite Con[ractore Law 18 27 RCW antl 296 200 WAC <br />bhll'III J)nn' Iry m�rlln bm4n� <br />Jennifer Burc�ess �,,.,.,,,..r�P..,�...,,.,,��,�,,,,�w,,.,,.,.�,,.,,,,, <br />fl M'll. mml ��a�n�Inm�MmmL [am ruS <br />