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'ro r- n..u.. -or �a su�+.os-o•..r zoov �c:rnr� ...nrn000:�..0 r.o... oo�.o.e..:.ni..�e. <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — �AX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE AODRESS <br />100d W MUKILTEO BLVD <br />LEGAL LOT NO. BLOCN <br />DESC <br />GILMAR GONZALEZ <br />PARCEL TAX I.D. # <br />00505800001501 <br />TRACT <br />PERMIT # <br />' � � <br />1004 W MUI<ILTEO BLVD [verelt98023 425-591-9299 <br />TENANT NAME CONTACT FOR PERMIT PHONE <br />JENNIFER COVELLO 206-774-9499 <br />CONTRACTOR \A/EJCO AODRESS CITY/ZIP PHONE <br />V° 3909 196th St SW Lynnwood 800-398-4663 <br />CONTR. LICENSE� �n�ASHIES97� OB <br />vv <br />USE OF BUILDING <br />RESIDENTIAL <br />WORK DESCRIPTION <br />HEATSOURCE <br />� Electnc _ Gas _ Other <br />REPLACE 50 gal ELECTRIC WATER HEATER <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilel <br />Bathtub <br />Lavalory (�vash basin) <br />Shower <br />Kitchen sink S tl�sposal <br />Dish�vasher <br />Clothes washer <br />Laundry tray <br />S�nk (servicelbadmop�etc ) <br />6ackllow preventer <br />Urinal <br />._ Dnnking Fountain <br />Floor drain <br />Greaselrap <br />Roof drains <br />Olher <br />l:Hll <br />CONTRACT PRICE OF WORK <br />913.00 <br />TYPE OF FIXTURE OR ITEM <br />WC — air handlin9 units <br />Forced air systems <br />Gas p�ping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clolhes dryer <br />Range hocd <br />Ezhaustfan <br />Heat pump <br />Unit heater <br />Boiler <br />Refngeralion <br />Waodstove <br />Other <br />CITY OF EVERETT IOCAL SALES TAX CODE IS 7105 <br />I hereby centify Uiat I have read and examined this application and know lhe same to be true and cortecl All provisions of laws and <br />ordmaces goveming Ihis type ol work vnll be complied with whether specifed herein or noL The granhng o( a permil tloes not presume <br />to give authordy to vlolate or cancel the provision of any olher stale or local law regulahng wnsWction or the peAormance ol <br />construdion. That I am aul�orized by �he owner of this property lo perform the work for which application is made and I comply wdh the <br />State Contradors Law 1827 RCW and 29��,�1�„W�+����,;,,�o,.�:q <br />Jennifer Covello o,�m,.��,,,��.,�eew,a,�.,,,�,...,�,�o,. - <br />'m! �L-pnrvlu kn..r r mLmm. � N) <br />!1. �.)� 1�1 `n )f 1111A,1^M <br />Signature ol Owner/ConlractodAuthonzed Agent Date <br />