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PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 42�257-885i—wv✓w.evereriwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRE55 PARCEL T4X I.D.# PERMIT# <br /> 1901 GRAND AVE #2 0043�d3�6o0100 m �3 _05 <br /> LEG4L LOTNO. BLCCK TRACT <br /> DESC. <br /> OWNER ADDRESS 4TV21P PHONE <br /> MARGUERITA DOLh1AN 1901 GRAND AVE #2 Everett 98201 425-343-5795 <br /> TENANT NAME CONTACT FOR PERh11T PHONE <br /> Jennifer Burgess 206-774-9499 <br /> CONTRACTOR �A/ESCO ADDRESS QTV21P PHONE ' <br /> VV 3909 196 St SW� Lynnwood 98036 500-398-4663 <br /> CONTR.UCENSE N`^,ASH IES97�OB <br /> vY <br /> USE OF BUILDI�G HEAT SOURCE CONTRACT PRICE OF WORK <br /> Residential I _Electric �Gas_Other $950.00 <br /> WORK DESCRIPTION <br /> REPLACE 50 GALLON GAS WATER HEATER <br /> PLUMBING MECHANICAL <br /> NO. TYPEOF FIXTURE OR ITEM NO. TYPE OF FIXTURE URITEGI <br /> Totlet A/C —air handl�ng unds <br /> Bathtub Forccd air systems <br /> Lavatory (wash basin) Gas pipmg <br /> Shower � Watef heatef <br /> KRchen sink 8 dispo5a� Gas fueplace <br /> DishHasher Gas rangc <br /> Clo�hes v.asher Clothes dryer <br /> Launtlry tray Range hood <br /> Sink (service/barlmop/etc) Exhaustian <br /> Backflow preventer Hcat pump <br /> Unnal UnR heatei <br /> Dnnking Fountam Boder <br /> Floor draln Relrigeration <br /> Grease trap N'oodstwe <br /> Rool drams Other <br /> Other <br /> CITY OF EVERETT LOCAL SALES TA%CODE IS�105 <br /> I hereby cerrtdy ihat I have read and examined this appllcation and know the same to be Irue and correct All prwisions o�laws and <br /> ordinaces govermng this type of�.wrk v,�ll be compliea with whether specihed herem or not The graMinn of a permd does not presume <br /> to give authonry to violate or cancel the provision ot any other state or local law regulating . �nstmttion or the peAormance el <br /> construRion That I am authonzetl Uy the owner of this property to�ertorm lhe v.ork tor wl�Kh applicatwn is made and I comply wRh the <br /> State Coniractors Law 18 27 RGW and 296200 WAC. � <br /> IJigl'Ay J.�rM Iry ervMn eurgm <br /> Je n n i f e r B u rQ e s s {fRNI1.,ITlil��tt�nll(�Y��MT�TA'oTlrlu 411 Ju 1URilll'�lSl <br /> Signatureol Owner/Contracto Authorizad ' n ' ' "�'� "" Date <br />