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�o i. �n.. � or ., vo.r.ozno zi o.. n;. �o�...r� ,n..i.u0000un r-..,�., o.,uo..,.. =..i..ia.. <br /> • • <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT aERVICES <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 '� �'�—l� <br /> SITE ADDRESS PARCEL TAX I.D.p PERMIT# <br /> 3406 NORTON AVE ooa3�58z7oz9oo �1�Q2-05�j <br /> LEGAL LOT NO. BLOCK TRACT <br /> �ESC <br /> OWNER AODRESS CITYIZIP PHONE <br /> LAWRENCE MCLEAN 3406 NORTON AVE E�erettsszot 425-252-3572 <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> IJENNIFER COVELLO 206-774-9499 <br /> CONTRACTOR �A/ESCO AUDRESS CITV/ZIP PHONE <br /> V V 3909 196th St SW Lynnwood 800-398-4663 <br /> CONTR.LICENSE#WASHIES971 OB <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> RES _E�ectric �Gas_otner $750 <br /> WORK DESCRIPTION <br /> REPLACE 40 GAL GAS WATER HEATER <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TVPE OF FI%TURE OR ITEM <br /> _ Toilel A/C—air handling units <br /> _ BaUitub Forcetl au systems <br /> _ Wvatory(wash basin) Gas pipmg <br /> Shower + Water hoater <br /> _ Kikhen smk& disposal Gas fireplace <br /> _ Dishwasher Gas range <br /> _ Clothes washer Clothes Aryer <br /> _ Laundry tray Range hood <br /> Sink(servicelbadmop�etc ) Exhaust lan <br /> _ �ackflow prevente� Heat pump <br /> _ Urinai Unil healcr <br /> Drmkmg Fountam Boiler <br /> _ Floor drain Refrigeralion <br /> Grease vap Woodstove <br /> Root drains Olher <br /> Other — <br /> CITV OF EVERETT LOCAL SALES TAX CODE IS J705 <br /> I hereby cerddy that I have reatl and examinetl ihis appfication and know ihe sam?to be true and correct All provisions ollaws ano <br /> ordinaces goveming this type of work will be complied wrth whether specihed herein or nol The grant�ng of a permit does not presinne <br /> to give aulhority to violate or cancel the prowson of any other siate or local law regulatiny construction or the periormance ol <br /> construcUon. That I am authorized by the owner ol this property to perform Ihe work lor whith apphwtion is made and I comply wdh the <br /> Statc CoMractors Law 1D,27 RCW and 29�.�f��,�J(+�„�-.,�,,m,,,� <br /> Jennifer Covello �,,,� ��.,.,,<o..�,00,,..,,..,,,,.,�..,��.��. <br /> ,�,..��,,,:�_�.,m,,.��� �, <br /> � ..,��.�„� ,� �,�.� <br /> Signature of OwnedConiraclor/�uthonied Agenl Date <br />