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� -----� -- �-- — — <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES ' <br /> 3200 CEDAR STREET. EVERETT, WA 98201 � <br /> 425-257-8810— FAX 425-257-8857 —�vrrNteverethva.oig <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE' ADDRESS I PARCEL TAX I.D.# PERMIT tt <br /> 1431 GRAND AVE � o0a�532950�500 __��5 _ D'�q <br /> LEGAL LOTNO_ BIOCK TRAC7 � <br /> DESC <br /> OWNER A�DRE55 QlY21P PHONE 'I <br /> RICHARD FORTMANN 1431 GRAND AVE E�=�zu�a2o� 425-385-7138 <br /> TENANT NAL1E CONTACT FOR PERA1IT PMONE � <br /> � Jennifer Burgess 206-774-9499 ' <br /> CONTRACTOR �AlLSCO ADORESS Q7Y21P PHONE <br /> V V C 3909 196 St SW, �>��^���V� y"�'° g00-398-4663 <br /> CONTR. LICENSE u ��ASHIES971 OB <br /> USE OF BUILDING HEAT SOURCE COt,TRACT PRICE OF WORK <br /> Residential I _Eiectnc � Gas_O�ner 950.00 _ � <br /> WORK DESCRIPTIOIJ I <br /> REPLACE 50 GAL GAS WATER HFATER I <br /> PLUMBING MEGHANICAL <br /> NO. TVPE OF FIXTURE OR ITEPi1 NO. NPE OP FIXTURE OR ITEf.1 <br /> i <br /> Toiiet A!C —av hantlhn� units , <br /> _ Batntub Forcetl au systams I <br /> Lavatory (�vash basn) Gas pipmg <br /> Shower � Water heater <br /> Kd[hen 5mk E disposal Gas hreplace <br /> Dishwasher Gas renge ! <br /> Clothes washer Clothes dryer �� <br /> Laundry lray Range h�otl <br /> Sinh (service/baUmopletc ) Exhaust fan <br /> Back�low prevcnter Heat pump <br /> _ Urinal Und hcatcr � <br /> Dnnhmg Founta�n 13oticr <br /> FIOor tlrain Reinge�ahon <br /> Gtcase trop Woodstovc <br /> Rool tlrams Olher _ <br /> OthCr <br /> CIT/OF EVERETT LOCAL SALE:.TAX CODE IS 7105 <br /> I here�y CBnGfy th�t I hOVC read and Endmined�nis dpplicdtiun antl know Ihe SamC t0 bE tru0 and Co�r2Ct �II pro+�sions o� lav5 and <br /> ordinaces govemmg this lype ot v,ork�+nl� be complied v�nth�vheUter spealied herein or not The yranting ot a permit tloes nol presum� <br /> 'o grve authonry to violate or cancel the prov,s�on of any other state or local Ww regulaUng c»nstrucUon or the peAormance ol <br /> wnstruction That I am authon?etl by ;he ovmer of this property ro perform Ihe�+rork for wh�h apphcation is made antl I compty vnth the <br /> State Conirectors Law 18 ?i RCW and 296 200 VVAC <br /> UI�r.O�VrneJCY:�'^nILIHn�qrvt <br /> J e n n i fe r B u r e s s GII<��'�P��Ot�NU��^1t )+N�iF111::L511144'11[U-1tFIH�.1S� <br /> 4(`N.'Ii.t+nJll-�ft'rJl���t�n}�t+ml�<:T:-l'S <br /> S�gnatu�e or OwnevContraCto �AuIIiunzatl� eh ��-�'��"�'---Date <br /> - — l <br />