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SITE ADDP.ESS <br />2810 LARLIN DR <br />LOT �JO <br />DESC ' <br />OWNEft'—_— _ --__ _'_. <br />CHRIS HAUKAP <br />� <br />P�E�2MIT AF'PLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET. EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — wv✓w.everetriva.org <br />APPLICATIONS ARE ACGEPTEL� FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. # <br />00603700007300 <br />BLOCK I TRACT <br />2810 LARLIN D� <br />TENANT NAL1E CONTACT FOR PERLIIT <br />Jennifer Burgess <br />-- - ---------- <br />CONTRACTOR ��lESCO ADDRE55 <br />VV 3909 196 St SW, <br />CONTR. LICENSE �t WASHIES971 OB <br />USE OF BUILDIt1G <br />Residential <br />�rroak o=_scRiPrior� <br />RFPLACE 80K GAS FURNAGE <br />IJO <br />�i�L�1L <br />'I TYPE OP FI%TURE OR ITEL1 <br />ITo�iet --.— — <br />�athtub <br />Lavatory (wash basin) <br />Showcr <br />K�icnen sink E tlisposal <br />' D�snwasher <br />Ciothes washer <br />Laundry tray <br />Sink (serviceiUarlmopletc ) <br />Backllow preventer <br />Unnal <br />Drink�ng Fountain <br />Roor dram <br />Gruase trap <br />ftoal drams <br />Other <br />HEATSOURCE <br />Flect•ic � Gas _ Other <br />PEacvr tt <br />PHOtlE <br />Everett 982C1 <br />PHONE <br />206-774-9499 <br />QNRIP PHONE <br />Lynnwood 9eo�e 800-398-4663 <br />I CONTRACT PRICE OF WORH <br />3660.00 <br />NO. I TYPE OF Fl%TURE OR ITEL1 <br />A1C – an hanaling units <br />Forced air systems <br />Gas pipmg <br />Water heater <br />Gas Lreplace <br />Ga; range <br />Ciothes dryer <br />Rangenootl <br />Erhaust lan <br />f-lea� pump <br />Unit hr�ter <br />E�oiier <br />Reingeralion <br />Woodstrnc <br />CITY OF EVERETT Li�CAL SALES TAX CODE IS 3705 <br />i nareby cenhfy Ihat i l:��.e reatl antl examined this appLcatton and know tne Sdme to bc true antl correct All pro'�isions of laWs antl <br />crUinaces governing th�s type of work wnil be complied w��lh whethCr speahetl herein Or not The gf3nt�ng ol a pefm�.� tloes nct pfe5ume <br />to �p�e iuthc•��;v to v�oiate ur cancel Ihe provis�on of any other state or local law re9uiat�ng mnstrutUon or the peAormance ot <br />-✓��st��ci�.cn � hat i arn autnon-etl by the owner of this prope ,ry to perform the work fo� which app�icaUon is maae ana I comply wdh thc <br />Sute CenVactors La�.v 1 a=7 RC�n' antl �96 200 WAC <br />[' .q�._ �a rco� rn� x�. <br />J e n n i f e r B u r �,J � `,' � � ���� N I I�LYlS� R4�.V1 ou Iqpllfl.LSi <br />III�A.I ' 1 �.Il�rei 1 .[..T:.115 <br />�i3^atureo Uc��eri�o�(ra�.o�r�uthoi_�a-3, en �� Date <br />