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SITE ADDRE55 <br />4311 HARBOR LN <br />LEG4L LOT NO. <br />DESC. <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — wv�.everettv✓a.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />BLOCK <br />JOHNELL KAY CAPELLA <br />TENANTNAME <br />CONTRACTOR \A/ESCO <br />�� <br />CONTR. UCENSE N WASH I ES9% � OB <br />USE OF BU�LDING <br />Commercial <br />WORK DESCRIPTION <br />PARCEL TAX I.D. # <br />00417100002601 <br />TRACT <br />4811 HARBOR LN <br />ICONTACT FOR PERMIT <br />Jennifer Covello <br />REPLACE 50 GAL WATER HEATER <br />NO. I TYPE OF F�XTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory pvash basin) <br />Shower <br />Ki[chen sinh & disposal <br />Dishwasher <br />Clothes washer <br />Laundry iray <br />Sink (servicelbar/mop/etc.) <br />Bachf low preventer <br />Urinal <br />Orinking Pountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />ADDRESS <br />3909 '196 St SW, <br />HEAT SOURCE <br />_ Electric � Gas _ Other <br />Everelt 98023 425-353-0257 <br />PHONE <br />206-774-9499 <br />pN/ZIP PHONE <br />Lynnwood 98036 g�i?'(�? t� �', :1663 <br />CONTRACT PRICE OF WORK <br />950 <br />ryp, I TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forcetl air systems <br />Gas piping <br />i Water heater <br />Gas lireplace <br />Gas range <br />Clolhes dryer <br />Rangehood <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstwe <br />� <br />CIN OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceniify that I have read and examinetl this applica[ion and hnow the same to be true and correct. All prwisions of laws and <br />ordinaces goveming thistype of work will be mmplied �M[h whether specifietl herein or not. The granting of a permit does not presume <br />to give authority to violate or cancel the provision of any other state or local law regulating construction or the peKormance of <br />construction. That I am authonzed by lhe owner of this property to perform the �wrk for whkh application is made and I comply with the <br />S4�te Contractors Law 18.27 RCW and 296200 WAC. <br />l;l�l�..�l� f13nN Irv m�nlln Nuye�S <br />J e n n ife r B u ra ess ;�.,�„':m°,",�;�,n���; �°�,�°�m�. �=w�,,��.,.�„�,.�s, <br />