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SITE ADI7RE55 <br />728 LAUREL UR <br />LEG:.L LOT NO. <br />GESC <br />DF_LAINE L MACKU <br />TENANT NAG1E <br />CONTRACTOR �A/ESCO <br />VV <br />PERMIT A�PLICATION <br />CITY OF �VEr�ETT PERMIT SER�.�ICES <br />3200 CEDAR STREET, EVERETT, WA 9ti20? <br />425•257-8810 — FAX 425-257-8857 — wvsN.everatNda.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. it <br />00561900900500 <br />BLOCK � TRACT <br />728 LAUREL DR <br />CONTACT FOR PERh11T <br />Jennifer Covello <br />ADDRESS <br />3909 196 St SW, <br />CONTR. IICENSE # wASHIES971 OB <br />USE OF BUILDING I <br />RES I _ <br />WORK DESCRIPTION <br />REPLACE 50 C�AL GAS WATER HEATER <br />NO. I iYPE OF FIRTURE OR ITEG1 <br />Toilct <br />Bathtu6 <br />Lavatory (wash basn) <br />Shower <br />Kilchen sink & tlisposal <br />DiShwasher <br />Clothes washer <br />Laundry tray <br />Sink (serviceibar/mop/etc ) <br />8ackflow preventer <br />Vnnal <br />Drmking FO�ntain <br />Floor dram <br />Grcasetrap <br />ROcf tlrdins <br />Other <br />HEATSOURCE <br />clectnc �Gas_Other <br />N i � <br />�2-3-�3 <br />PERMIT <br />�Y11 � l 2 — 011 <br />425-252-7501 <br />PHONE <br />206-774-9499 <br />qTY/ZlP PHONE <br />Lynnv:ood 9fiU::6 800-398-4663 <br />CONTRACT PRICE OF WORK <br />950.00 <br />NItGHANIGAL <br />NO. I TYPE OF FI%TURE OR ITEM <br />A/C — aR handling units <br />Forced art systems <br />Gas p�pmg <br />Water heater <br />Gas fireplace <br />G�s range <br />Clothes dtyer <br />Rangehood <br />Exhaus(fan <br />Hea[ pump <br />Un�t healer <br />Boiier <br />RetngeraGon <br />Wootlslove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX COOE IS 7105 <br />I hereby CerRdy �hal I have reatl and examinetl �his apphCatiOn and know [he same to be Irue and CorreC[ All provi5ion5 Of laws and <br />ordinaces g! vemmg thistype of work wJl be comphetl wdn whether specihetl herein or nol The granting ot a permrt does not presume <br />to (Jive duthOrlty to �lolat0 of [anCEl the prOvl5i0n Of �ny other Stdffi Or I0001 laW rBgulatmcJ O�nS[NCtion of the pertormance of <br />construction That I am authonzed by Ihe ovmer ot this property to pertorm the work lor whicn appiication is made and I comply wrth the <br />State Contractors Law i8 27 RCW antl 236200 WAC. <br />Clglall/ YcnM h�;frnlln Bur�MS <br />J e n n i f e r B u rg e s s ��, ������.� a����,s o.��,K:.�, R�M�,_o�_,�,.,,.,�, <br />.�,�.,�..m,,.,�..�.,r���,,.m„«m�.�s <br />—�!�+�M <br />