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$ITE AUDRESS <br />5406 S 3RD AVE <br />!EG�L LOTNO. <br />DESC <br />DAVID SMITH <br />TENANTNAME <br />>o...o..¢� ao 0o in ic+r.n.� �..���..��,�o..�., r,�... oeu.....�, r.�.���a« <br />. _'— __ • _. _"_ <br />PERMIT APP� ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEC�AR STRE[T, EVERETT, WA 98201 <br />425-257-8010 — FAX 425-257-8657 — www.everettwa org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. # <br />00464700000100 <br />BLOC�TRACT <br />CONTRACTOR VVESCO <br />CONTR. �ICENSE � WASHIES971 OB <br />USE OF BUILDING I� <br />RES <br />WORK UESCRIPTION <br />5406 S 3RD AVE <br />CONTACT FOR PERMIT <br />Jennifer Covello <br />INSll1LL 15K MINISPUT HEAT PUN1P <br />PLUMBING <br />NO. I TVPE OF FIXTURE OR ITEM <br />Toilel <br />Balh�ub <br />I.avalory (wash basin) <br />Showcr <br />Kdchen sink 8 tlisposal <br />Oishwa;her <br />Clothes w�sher <br />Laundry Iray <br />Sink (sorv�ce/badmoplelc ) <br />�achflow prevenler <br />Urmal <br />Diuri.iny Founta�n <br />Floor Arain <br />Greasetrap <br />Roof drains <br />Othcr _ <br />ADDRESS <br />3909 1961h St SW <br />HEATSOURCE <br />� [b�an[ _ Gos ___ Other <br />� --�5`�'.f <br />PERMIT k <br />E��erelt 9F3203 425-830-1380 <br />PHONE <br />206-774-9499 <br />CITYGIP PHONE <br />Lynnwood 800-3p8-4663 <br />CONTRACT PRICE OF WORK <br />$4375.30 <br />NO. I TVPE OF FI%TURE OR ITEM <br />NC - air hantllmq unds <br />Forced ar system; <br />Gas P�Ping <br />Water healet <br />Gas firepiace <br />Gasiange <br />Clolhes dryer <br />R•ingc hocd <br />Enhau5lfan <br />Hcal pump <br />Ulli� I1raiCf <br />Boder <br />Refrigeration <br />Woodslove <br />� CITY OF EVERETT LOCAL SA_e5 TAX CODE IS J105 <br />I hereby centiry that I have read and examined �h�s appliwlwn ano hnow lhe samr; to be true and correct All provisions ol laws and <br />ordinaces governmg ilns type ol woik vnll be compiied wdh whether speuhetl herein or not The grenting ol o permd does nol pmsumc <br />to grve authonty to violale or cancel Ihe provision oi any other stote or lowl law regulal�ng conslruchon or the Verlormance ol <br />construr�ion That I am aulhoiir.ed by U�e owner ol U�is pwperty tu periorm the �vork lor which application is made anr� I comply wiUi the <br />Slale Conlraclors L:+w 18.27 RCW ond ?� � D Wl�C <br />i,.�h.A. ��pm�e .r i��„�d�., c�.� i„ <br />J e n n i f e r C ov e I I o,:� ..,.:m,.,.. �..�,.,.,. ,;: ��..,,,.,.m,,.� �� ,,�„�,.., <br />�.����,.,.,�,�., � ., �„�,,,m�.��„ � ,,.. I <br />SignatureolOwni�TContractorlAulhoozetl-Xg�n7°�""�'�"�"�'� Date � <br />2 <br />