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_ - -- -- - - <br />• -------- - .- — <br />PERMIT APPLICATION <br />�.;ITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVEP.ETT. WA 98201 <br />425•257-8810 — FAX 425-257-8857 — ��fw��.everetri�da.org <br />SITE AODRESS <br />5731 LOWELL RD <br />LEG�+I LOT NO. <br />DESC <br />DAVE HEY <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCELTAXI.D.# <br />oonssao�000200 <br />BLOCK TRACT <br />5731 LOWELL RD <br />TENANT NAh7E CONTACT POR PERL7IT <br />. `�c-�J c IJennifer Burgess <br />CONTRACTOR ,^/� _ _ 1 �3 ADDRESS <br />°V 3909 196 St SW, <br />CONTR. LICENSE ri WASHIES971 OB <br />USE OF BUILDING <br />Residential <br />WORK DESCRIPTION <br />OIL TO GAS 60K FURNACE INSTALL <br />tJO. I TYPE OF f'I%TURE OR ITEh7 <br />Toilet <br />Bathtub <br />Lavatory (.vash basin) <br />Shower <br />KltChen SinY.B tlisposal <br />Oishwa�her <br />_ pothes washer <br />Launtlry tray <br />Sink (service/Uar/mop/etc ) <br />Backflow preventer <br />Urinal <br />Dnnkmg Fountain <br />Floor diam <br />Grease trap <br />Root tlrams <br />Other <br />HEATSOURCE <br />_ �lectnc � Gas __ _ Othei <br />T# <br />EvFrett 98203 425-353-753� <br />PHONE <br />206-774-9499 <br />pTV21P PHONE <br />Lynnwood 98036 g00-398-4663 <br />CONTRACT PRICE (iF WORK <br />3891.93 <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — au hantlhng umts <br />� FOfcEtl 81f 5y5tEm5 <br />Gas piping <br />Water heater <br />Gas lireplace <br />Gas range <br />Clothes dryer <br />Rangchood <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Boner <br />Reingcralion <br />Woodstove <br />Other <br />CIN OF EVERETT LOCAL SALES TNf CODE IS 3105 <br />I hereby centdy that I have read dntl ezamined thls appiication and know the same to Ue true and correct. All prpvisions of IawS and <br />ordinaces govemmg this type of work Hnll be comphetl wrth whether specihed herein or not The granting of a permit does not presume <br />to grve authonty to violate or cancel the provision o1 any othe� state or local law reguiatmg mnstruction or the pertormance ol <br />construdion. That I am aulhon>_etl by the owner of �his pro^erty to perfo�m the work for which applicaLon is made antl I comply wRh the <br />SLite CoNrattors Law �8 27 RCW antl 296 200 WAC. <br />c�5ra1�� u,�ea er;m�nn awqnt <br />� e n n i f e r B u ra e s s ���;R:��m;�, ;m��,°:�°:r� m,��otmT «N�,. ��.,p�,,,,.1„ <br />