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To E Page a ot 5 ZGta-05�t2 18 aB 55 (GM7) 18BB4W0383 From Deborah Snic�.Uc I <br />_._____.--• ___-_—_.—__ -_______. ._. • <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8610 - FAX 425•257-8857 - www.everettwa org <br />SITE ADDRESS <br />2729 HARRISON AVE <br />LEG�1l LOT NO. <br />OESC <br />C3URCH M CAMBERS <br />TENANT NAME <br />GONTHACTOR \A/ESCO <br />VV <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEI TAX I.O. # <br />o0a3803a603101 <br />BLOCN I TRACT <br />CONTR. LICENSE++ WASHIES971 OB <br />USE OF BUILDING <br />RESIDENTIAL <br />WORK DESCRIPTION <br />REPLACc GAS b'VATER HEATER <br />NO. I TVPE OF FIXTURE OR ITEM <br />T o let <br />Balhtub <br />Lavarory (wash basin) <br />Shower <br />Kddien sink fi disposal <br />DiShwasher <br />Clothes �vasher <br />Laundry tray <br />_ S�nk (;ervice/badmop�Mc ) <br />�adllow preventer <br />Unnal <br />__ Dnnking Founla�n <br />Floor drain <br />Grease Irap <br />Rool drains <br />Othcr <br />CITYIZIP PNONE <br />2729 HARRIS�N AVE Evere�;98zot 425-328-5158 <br />CONTACT FOR PERtd1T PHONE <br />JENNIFER COVELLO 206-774-9499 <br />AODRESS CITVIZIP PMONE <br />3909 196th St SW Lynnwood 800-398-4663 <br />HEATSOURCE <br />Elecinc � Gas _ Other <br />CONTRACT PRICE OF WORK <br />750.00 <br />MECHANICA� <br />NO. I TYPE OF FIXTURE OR ITEM <br />NC — air hantl6nq unds <br />Forccd a�r sys;ems <br />Gas piping <br />� Water heater <br />Gas firep�ace <br />_ Gasranqe <br />Clolhes dryer <br />Rangc hood <br />EKhauslfan <br />Hc�t pump <br />Unu hcalcr <br />Bo�ler <br />� _ Re(r�geration <br />Woodstove <br />CITY OF EVERETT LOGAL SALES TAX CODE IS J705 <br />I hereby cerddy ihat i have read and exam�netl ihi, apphcaUon and know ihe same to be true and cortect AII piov�sions ol law, and <br />oramaces yoverniny th�s type of work wdl be compiled wqh whether spec�Ged here�n ur not lne granUng of a permd dces not presume <br />to gn�e authonty to v�olate or cancel the provision of any othe� state or lowl law reguiabng construchon or the DeAormance ol <br />ccn;tructwn That I am a�thenzed by the owner of this pwperty to periorm the work lor which app6cahon is made and I comply wdh Uie <br />Sate CoNractors Law 18 27 RCW and 29�,.?, w <br />QQr7n.fa � n.,.n., co.c�� <br />J�nnifer Covello �,.,.�.�,.,,,,o.�,,�-,:�.�..,,�.,m,.,.�o� <br />�.. ��:..�,,,;..�.,.,,�o-.:�, <br />m�. �r n.ru n.m <br />S�g�ature of OwneuContractouAuthonied Agent Uate <br />