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/ �..u.. -. .,. ��r _.�..i.��� :r. �o os ��� « <br /> �r., �: �...,.� .�.,�.wi�uoo�.�� �...,.., ��..o..,�.. _�..�e. <br /> •_ ___"_ '-- .'_"_ .____._ _ . ___.'_— <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES '�, <br /> ', 3200 CEDAR STREET, EVERETT, WA 98201 I <br /> 425•257-�810- FAX 425-257-8857 -wtiw� everettwa.org �II <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> j SITE ADDRESS PARCEL TAX I.D. # PERIMIT p I _ O� <br /> 902 CROWN DR ooasa�0oo00i00 M v <br /> LEGAL l0T N0. BLOCN TRACT <br /> DESC <br /> OWNER AODRESS CITYIZIP PHONE <br /> � DAVE SWEZEY 902 CROWN DR e��«u �azos 425-259-2853 � <br /> TENANT NAME CONTACT FOR PERMIT Pl10NE <br /> Jennifer Covello 206-774-9499 <br /> — , <br /> CONTRACTOR 1A/ESCO AODRE55 CITVIZIP PHONE � <br /> V V 3909 196th St SW Lynnwood 800-398-4663 <br /> CONTR.LICENSE�WASH I ES9710B <br /> USE OF BUILDING I HEAT SOURCE CONTRACT PRICE OF WORK � <br /> RES _Electnc �Gas_otner C�950 <br /> WORK DESCRIPTION <br /> REPLACE 50 GAL GAS WATER HEATER � <br /> I , <br /> PLUMBING MECHANICAL <br /> �� NO. TVPE OF FIXTURE OR ITEM N0. TYPE OF FIXTURE OR ITELt � <br /> _ Toilet A/C—a�r hand��ng un�ts <br /> 6athtub Forcetl av systems <br /> Wvatory(wash basm) Gas p�pmg <br /> Shower i Water healer � <br /> , �_ Kdchen smk 8 tlisposal _ Gas fireplace � <br /> �. _ D�shwasher Gasrange <br /> �'�, CIoU�es washer Clothes dryer <br /> , _ Laundry tray Range hoo� <br /> S�nk(sc;rvice/barlmopletc) [xh�ust lan <br /> 6acktlow preventer Heat pump <br /> Urinal Unit healer <br /> __ Dnnking Founlain Boder I <br /> . _ Floor drain RefngeraUon <br /> � __ Grease trap Woodstove <br /> ' __ Roof drams _ Olher <br /> _ Other _ <br /> i <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS J705 <br /> I hercby centdy that I have read and exam�ned th�s apD��cation and know the same to be true and correct All provisions of laws and <br /> ordmaces aoveming this type of work will be comphed with whether specd�ed herein or not The granting ot a permd does nm presume <br /> to g�ve aulhor�ty to violate or cancel the prov�sion of any other state or lowl taw regulat�ng construction or the pertormance of <br /> construction. That I am aulhonzed by the owner of tnis property lo periorm the work(or which application is made and I comply wdh Ihe <br /> State ContreUors Ww 1827 RCW and 29�7��0 WP2C. <br /> q .��.0 r.n�:rrcwmo <br /> J e n n i f e r C ov e I I o o„�.,�,�.,..�0..,4�.�0��...:P.,.�„M.o�_��,o�.� <br /> '�awuv�Uvqer.mui.�rn�a���noyi�mc mn,oVS <br /> S�gnature of OwneuContractorlAuthor�zed g n Date <br />