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� o..�-o � .ov �a .. ..o �co. ��> <br />I 1 <br />\J <br />• <br />PERMIT APPLICATION <br />..,.���.�0000m � .o... �..�,��..�. �.,�..�.,.. <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />1821 HIGHLAND AVE <br />LEGAI LOT NO. BIOCK <br />DESC <br />SAMUEL W ERICKSON <br />TENANTNAME <br />CONTRACTOR �A/ESCO <br />VV <br />CONTR. LICENSE b WASH I ES971 OB <br />USE OF BUILDING <br />RES <br />WORK DESCRIPTION <br />PARCEL TAX I.O. q <br />00563235300500 <br />TRACT <br />1821 HIGf-ILAND AVE <br />CONTACI FOR PERMIT <br />Jennifer Covello <br />ADDRESS <br />3909 196th St SW <br />HEATSOURCE <br />_ Electrlc y Gas _ Other <br />REPLACE 40 GAL GAS WATER HEATER <br />NO. <br />PLU <br />TVPE OF FIXTURE OR ITEM <br />To�lei <br />Batntub <br />Lavatory (wash basin) <br />Shower <br />KitCh2n 5ink $ dispo531 <br />Dish�vashcr <br />Clothes washer <br />Laundry Iray <br />Smk (serv�ceibar�mop�etc ) <br />6ackflow preventcr <br />Unnal <br />Dnnkiny Fountain <br />Floor d�ain <br />Grease trap <br />Roof drains <br />Other <br />PERMIT # <br />I�I ( �01� 07r?� <br />[verett 98201 425-259-4326 <br />PHONE <br />206-774-9499 <br />CITYIZIP PHONE <br />Lynnwood 800-398-4663 <br />CONTRACT PRICE OF WORK <br />$750 <br />NO. � TVPE OF FIXTURE OR ITEM <br />AIG — air hantlhno units <br />Forced air systems <br />Gas p�pmg <br />Water hea�er <br />Gas fireplac.� <br />Gasrange <br />Clolhes dryer <br />Runge hood <br />Exhausl lan <br />Heat pump <br />Unit heater <br />Boiler <br />Retngeritron <br />Woodslovc <br />Other— ---_---- --_ <br />CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br />I hereby cenGfy that 1 have read and examined Ih�s apDiication and knov+ Ihe same to be true and mrrect All prov�sions of laws and <br />ordinaces ooverning this type of work wiil be compiied wrth whether specified herein or not The granting ef a permd tloes not presume <br />to grve authordy to violate or car.cel Ihe prowsion of any other state or local law regulating construction or the DeAormance o( <br />construaion That I am authonzed by lne owner of this propeny to perform iha work for which apphcation is matlo and I comply wrth Ihe <br />Slate ConPaclors Law 18 27 RCW and ?� �q0 W(�G <br />�it.v.� b�.w���l�. -.onn rn een�pe <br />Jennifer Covello u•+��...,„i.-W.�noo=r�o+n.enrr„�,u.ca�-r•,���n <br />>u.+unl Allnqer. �meli.knn•nin.prmll [om. (-Vi <br />S�gnature of Ov,neUCoNraclodAuthonied` �gen � '- " Date <br />