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.�o c i-..n� � o... _.o�.�.o..uv ::o��-, �, aoo,.ro ,r�unn000�.o r,�,... o..n.,,..�. _:�.��.�.�« <br /> • • <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425•257-8810— FAX 425-257-8857 —ww�v.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � �0 3 --I`�I <br /> SITE ADDRESS PARCEL TAX I.D.q PERMIT# <br /> 3610 FRIDAY AVE 00451500701002 /l�l I�}� � � Q�(p <br /> LEGAI l0T NO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITYIZIP PHONE <br /> FRANCIS LOEB 3610 FRIDAY AVE Everet�9ezOt 20G-498-5203 SUMMER <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> Jeni�ifer Covello 206-774-9499 <br /> CONTRAGTOR �A/ESCO A�DRE55 CITVIZIP PHONE <br /> �� 3909 196th St SW Lynnwood 800-398-4663 <br /> CONTR.LICENSE R 1^r^�u I E597� �p <br /> vvi� i i u <br /> USE OF BUILOING HEAT SOURCE CONTRACT PRICE OF WORK <br /> S FR _Electnc �Gas_otner $750 <br /> WORK DESCRIPTION <br /> REPLl10E GAS WATER I-IEATER. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FI%TURE OR ITEM <br /> Todet A/C—air handimg unrts <br /> BatMub porced air systems <br /> Lavatory(wash basin) Gas p�ping <br /> Shower + Water heatcr <br /> Kdchen sink 8 disposal Gas frepl�w <br /> Dishwasher Gas renge <br /> Clothes washer Clothes dryer <br /> Laundry tray Ranye hood <br /> Snk (;ervicelbadmopJetc.) Exhaust fan <br /> BackOow preveMer Heal pump <br /> Urinal Un�t heater <br /> . Drinking Founlain Boaer <br /> _ Floor dram Refngeral�on <br /> Grcase trap Woodstove <br /> Rool drains Olher <br /> Other <br /> CITY OF EVERETT LOCAI SALES TAX CODE IS J105 <br /> I hereby centify ihat I have read and examined this appficat�on and knuw lhe same to be true and conect All provisions of laws and <br /> ordmaces goveming this type o(work vnll be cornpNed with whether speciGed herein or nol The graMing of a permil tloes not presume <br /> to give authonty to violate or cancel the provision ol any other state or local iaw regulabrg constructwn or the performance of <br /> construc6on. That I am outhonzed by Ihe owner of lhis property lo periorm the work lor whiUi applicaLon is made and I comply with the <br /> Stale Coniractors Law 18 27 RCW antl 29�i��(�O,W�C£, � �w ,� <br /> Jennifer Covello �,�.,..�..,,,.�<o..�;,,�.,,�„�:..,�:,m,�M.�,,.a�.a�,� <br /> nua��,w�,n.,.�..�,e_i.��o-,ro»w�m�i ao��.�.u; <br /> wor.r��w.c�w�-- <br /> Signatwo ol�wnedContractorilwthonzed ,genl Date <br />