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� <br /> PER:MIT APPLICATIC�N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 (:EDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857—vw�nN.everettvua.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.N PERMIT N <br /> 10 SE EVERETT MALL WAY I#D o0396900003300 - <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS q7Y21P PHONE <br /> JAN-BO RESTAURANT 10 SE EVERETT MA�L WAY#D everett se2o1 425-347-1622 <br /> TENANTNAME CONTACTFORPERMIT PHONE <br /> IJennifer Burgess 206-774-9499 <br /> CONTRACTOR \A/ESCO ADDRESS d7Y21P PHONE <br /> �� 3909 196 St SW� LYnnwood 98036 800-398-4663 <br /> coNrFe.ucer+se a WAS H I ES971 OB <br /> USE OF BUILDING I — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> Commercial Electric �Gas_Other $1250 <br /> WORK DESCRIPTION <br /> Replace 80 gal gas water he�iter <br /> PLUMBIN(i MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM N0. TYPE OF FIXTURE OR ITEM <br /> Tollat A/C—air handling units <br /> Bathtub Forced air systems <br /> Lavatory (�vash basin) Gas piping <br /> Shower i Water heater <br /> KRchen sink 8 disposal _ Gas fireplace <br /> Dishwasher Gas range <br /> Clothes washer Clothes dryer <br /> Laundry tray _ Range hood <br /> Sink(service/Sar/mop/etc.) _ F�chaustfan <br /> Backflow preventer _ Heat pump <br /> Urinal UnR heater <br /> Drinking Fountain _ Boiler <br /> Floor drain Refrigeration <br /> Greasetrap _ Woodsta:a <br /> Roof dralns Other <br /> Other <br /> CI1Y OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritify that I have read and ex�imined thL;application and knowthe same to be true and correct. AII provislors of laws and <br /> ordinaces governing thistype of work w II be mmplled with whether specified herein or not.The granting of a perrtdt does not presume <br /> to give authoriry to violate or cancel the provlsion of any other state w local law regulating oonstruction or the pertormance of <br /> construction. That I am authorized by th��owner of this property to perform the w+ork for which applicatlon is�ncde and 1 comply with the <br /> State ContraCtOrs Law 1827 RCW antl:96.200 WAC. <br /> DpIWN J9ME W ImNM B�ipn� <br /> ON.c�XrvWn Bwqe��a•NOFiM�TSt RPMAI,cu�NONIIM'CST <br /> J e n n i e r B u r e s s P��R•�'^���a�^^��^r^`h'^mlmom nU5 ,� ;�� <br /> Signature of OwnedContracto Authorl�a:7 X'J�n �°�����6at <br />