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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 — v✓ww.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D. # PERMIT # <br /> 1401 OAKES AVE I 00450628900100 ( �jOGj �D�� <br /> LECJIL LOT NO. BLOCK TRACT <br /> DESC <br /> OWNER ADDRESS pTY21P PHONE <br /> WILLIAN WALTER MCREYNOLDS 1401 OAKES AVE Everelt 98201 3G0-1203602 (Ienanl 8etn) <br /> TENANT NA�AE CONTACT FOR PERL7IT PHONE <br /> Jennifer Burgess 206-774-9499 <br /> CONTRACTOR \AJESCO ADORESS pN21P PHONE <br /> VV 3909 196 St SW, �y^^�����d sAo3� g00-398-4663 <br /> CONTR. IICENSE� WASHIES971 OB <br /> USE OF BUILDING HEAT SOURCE I CONTRACT PRICE OF WORK <br /> I <br /> Residential _e�e�t��� �Gas_Other 750.00 <br /> WORt( DESCRIPTION <br /> REPLACE 40 GAL GAS WATER HEATER <br /> PLUMBING MECHANICAL <br /> NO. I TYPE OF FIRTURE OR ITEh7 NO. TYPE OF FIhTURE OR ITEL7 <br /> 7ode[ A/C—ar hantlhng unrts <br /> Bathwb Forcetl art systems <br /> Lzvatory (wash basin) Gas piping <br /> Shower � Water heater <br /> Kitchen sinh E disposal Gas lireplace <br /> D�shwasher Gas range <br /> Clothes washer Clothes tlryer <br /> Launtlry lray Range hood <br /> Sntk (52NiCB/badmoplBlC ) Exhaust fan <br /> Backllow preventer Heat pump <br /> U:ina� Und heater <br /> Drinking Fountain Boder <br /> Floor dram RMngeration <br /> Greasc Vap Waodstovc <br /> Rool drains Other _ <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I r,ereby cenLly that I have read antl examinetl Ihis appliwtwn and know the same to be true antl correct All provisions ol laws and <br /> ordmaces govemmg thistype ot�wrk��li be cemphetl vnth whether specdietl herem or no[. The granhng of a pennrt tloes not presume <br /> to give authonty to violale or cancel the provis!on of any oVter state or local law regulating Nnstruclion or the peAormance of <br /> construdion That I am authonzed by the owner of ihis propern�to perlorm the work for wh�ch applicaLon �s made and I comply wdh Uic <br /> State Contractors Law i8 27 RCW and 296 200 WAC <br /> �I�LYI�tlgoM b)I[�'Nln Bmqnv <br /> J e n n i f e r B u rq e s s CII[N:fnrXn Nu��tN.GN.^FiNM1E511lPY11 ^_u-1YPINi.ltt <br /> �ENmI(.rT.�u.�mrilns�.pnnu<cm rVi <br /> SgnaNre ot Owner/Gontratto Authon�atl� "' � �� Date <br />