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To E Pace 4 of 7 201a�09�30 06 50 49 (GMT) 18BB4000383 From Oeborah Shieltls <br /> __. ._'__.— • .. _— _. .. _---- __ <br /> ' PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CGDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D. # PERMIT N <br /> 7719 EASY ST o0:92�00000�0o Q -Qd Z <br /> LEGnL LOTNO. BLOCK TRACT <br /> DESC <br /> OWNER ADDRESS CITY121P PHONE <br /> DIANN I LABAY 7719 EASY ST Everett 982U3 425-290-9795 <br /> TENANT NAME C�7NTACT FOR PERMIT PHONE <br /> JENNIFER COVELLO 206-774-9499 <br /> CONTRACTOR 1AlESCO ADDRESS CITYi21P PHONE <br /> V V 3909 196th St SW Lynnwood 800-398-4663 <br /> CON7R. UCENSE n �,.�SHiESo;lOB CiTv LiC+4t3-9 <br /> USE OF BUILDING I HEAT SOURCE CONTRACT PRICE OF WORK I <br /> R E S I _E�ectnc �Gas_otner 750.00 <br /> WORK DESCRIPTION I <br /> REPLACREPLACE GAS WATER HEATER <br /> PLUMBING MECHANICAL <br /> NO. TVPE OF FIXTURE OR ITEIA NO. TYPE OF FIX7URE OR ITE�A <br /> ToAel A/C -aR hBnClino unds <br /> Bathtub Forced a�r systems <br /> Lavalory(wash basin) Gas pip�ng <br /> Showe� Water heater <br /> Kdchen sink 8 disposal Gas fireplace <br /> Dishwasher Gasrange <br /> Clothes washer Clothes dryer <br /> � Laundry tray Range hood <br /> � Sink (;crnceibadmop'etc ) E+hausl lan <br /> iBackllow preventer _ Hea�pump <br /> i _ Urinal _ Unil heater <br /> Dnnking Fountain _ BoJe� <br /> � Floor drain Re(ngerat�on <br /> G�ease trap Woodstove <br /> Roof drain, Other <br /> Othcr <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS]105 <br /> �I hereby cenlify Ihat I have reatl and examined Ihis applicalion and know the same to be true and correct All provisions o(laws and <br /> ordinaces govern�cq Ihis type ol work�hll be complied wdh whether speciGed herein or not The grantiny of a permd does not pmsume <br /> to gwe authunty U viotate or cancei the prov�sion ol any other state or local law regulating conslrucLon or the peAormance ol <br /> construawn TCai I am authorized by Ihe owner of this pwperty lo periorm the work lor which app�ication is made and I comply with the <br /> SWte Contr.��lors Law 18 27 RCW and 29f�.?,A�,�!Q�„� ,,,�,,,�„ <br /> Jenr�ifer Covello �„�.._... .,,��.�r�...,..�.�,,,...�,. <br /> �,,,� .�.�,«�.�.�, <br /> ;,... , �;w°.,,,., �.M <br /> Signatr.�e of OwnerlGontraclor/Authoriied Agent Date <br /> �— <br />