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-- --- �"— - -- � --- -� <br /> PERMIT APPLICATION I <br /> CITY OF EVERETT PERMIT SERVICES j <br /> 32�0 CEDAR STREET, EVERETT, WA 98201 <br /> 425-2�7-8810— FAX 425-257-8857 — �vvrN.everett�va.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM I <br /> SITE ADDRESS PARCEL TAX I.D. # PERAIIT # <br /> 2313 EVERETT AVE UNIT #1 o0a3786050�600 �m��Q- � I <br /> L[GAL l0T NO. BLOCH TRACT <br /> CESC <br /> OWNER ADDRE55 qN21P PMONE <br /> EVA RICHARDS 2313 EVERETT AVE E�A�eu s�2o� 425-879-0441 <br /> TENANT NAIAE CONTACT FOR PERfd1T PHONE <br /> Jennifer Burgess 206-774-9499 <br /> COtJTRACTOR \�IESCO ADDRESS qN21P PHOtlE <br /> vV 3909 196 St SW� Lynnwaod 9803fi 800-398-�663 <br /> CONTR. LICENSE 77 WASHI ES97� OB <br /> USE OF BUILDIN� i HEAT SOURCE CONTRACT PRICE OF WORK <br /> Residential (Tri-Plex) _��e�t�;� � ca5_ocne� S950.00 <br /> WORK DESCRIP?ION <br /> Replace 50 Gal gas water heater <br /> PLUMBING MECHANICAL � <br />� tJO. TYPE OF FI%TURE OR ITEM1I NO. TYPE OF FIXTURE OR ITEl�1 I <br /> Toilet A/C -�u hantlhng units <br /> BathtuU Forcetl air systems <br /> _ Lavarory (wash basln) Gas pipmg i <br /> Showef i 1Nater hCaler . <br /> Krtchen sink 8 disposal Gas fuepWce <br /> Dishv.asher Gas range <br /> _ Clolhes washer � Clothes drycr <br /> Laundry (ray RangB hootl <br /> _ Sink(serv�celbar/mop/etc) — Exhaust fan i <br /> Backflow preventer Heat pump <br /> Urinal Unit hcater <br /> Dnnking FouN,m Boder <br /> _ Floor dram ReingeraLan <br /> Greasc trap Woodstavc <br /> Roof tlrains Otner <br /> Other <br /> CITV OF EVERETT LOCAL SALES TAX CODE IS 7105 <br /> � hereby cerM1ily that I have re�tl antl examined thi5 apphcation and hnow the SJme to be true antl co�recL AII p�ovl5ions ol laws antl <br /> ordinaces govemmg ihis type of�wrk�+nll be compl�etl w�th whether specdied herein or not The granung ol a permrt tloes not presume <br /> to grve authonty to violate or cancel the provi9on of�iny other state or local law regulating wnsiruction or the peAormance ot <br /> construi�tion That I am authonzetl by Ihe owner of this property to pertorm the woik for whKh appl:cation is made and 1 comply wqh the <br /> Srate Contractors Law�8 J RCW antl 236'_00 WAC <br /> oqrti�ry un��a ey 1mreM eu,qm <br /> JenniferBurqess «µ�tm�n�nnLp,fiu�-Pml'61LmiR911,cu-1MIIWdSi <br /> Sianawre ot ownenContracto nuu�onzaa en - ' � "" ° Date <br />