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__ _ _� - --- - ---�- <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WN 98201 <br />a25-257-8810 - FAX �25-257-8857 - v.�vw everettwa org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />1716 VIRGINIA A�1E <br />LEG�'. LOTNO. I BLOCK <br />�cSr <br />PARCEL TAX I.D. k <br />OOa38835402400 <br />TRACT <br />s-a3���� <br />P RMIT tt <br />� Ini405-b5(� <br />A�DRE55 CITYILP PHONE <br />SHAPIRO ENTERPRISE UNLIMITED 1716 VIRGINIA AVE <br />7ENANTNAME <br />CONTRACTOR �A/ESCO <br />VV <br />CONTACT fOR PER1d1T <br />JENNIFER COVELLO <br />[vereU98201 a25-aso�oovnuavr. iena�:i <br />PHONE <br />20E-774-9499 <br />ADDRESS CITY/ZIP PHONE <br />3909 196th St SW Lynnwood 800-398-4663 <br />CONTR. UCENSE a WASHIES971 OB <br />USE OF BUILDING HEAT SpURCE <br />R@S _ Electnc � Gas _ Other <br />WORK DESCRIPTION <br />REPLACING 50 GAL Gl�S VV�TER HEATER <br />NO. <br />PLUMBING <br />7VPE OF FI%TURE OR ITEM <br />Toilec <br />�alhtub <br />Lavatory (wash basin) <br />$h0\YCf <br />KdU�en sink R tl�spo5al <br />D�sh�tiasher <br />Clothes washei <br />Launtlry tray <br />Sink (;erncelbadmop�etc � <br />Dackttow preventer <br />Urinal <br />Dnnking foumai� <br />Floor d�ain <br />Giease Irap <br />Rool drains <br />Other <br />CONTRACT PRICE OF WORK <br />��J� <br />NO. I TVPE OF FI%TURE OR ITEfA <br />.VC �� air handhra u���ts <br />Forcctl a�t Systems <br />Gas piping <br />� W3i?f hQ3iCf <br />Gas fiiepiace <br />Gas range <br />qolhes dryer <br />Rangc hood <br />Exhaust fan <br />� Flcat pump <br />Vnrt heater <br />DoJer <br />Refrigeration <br />Woodstove <br />Other <br />� CITY OF EVERETT LOCAL SALES TA% COOE IS 7105 <br />I hereby centdy ihat I have read and examinetl ihis application and know the same to be Irue and cortect All provis�ons of laws and <br />ordinaces governing Ihis rype of work vnll be compiied with whether specdied herem or nol The gran6ng of a pennd does not presume <br />to give authenty to vrolate or cancel ihe pwvision of any other state or tocal law regulaUng con,IrucUon or the pedormance ol <br />ccnstrua�on That I am aulhonzed by the owner of this propeny to perlorm the work for which apphcation is made and I comply wnh the <br />State Contraclors Law 18 27 RCW and 29G,-2pQ W�E,�„��„ca�„ <br />Jennifer Covello °���-����������°°�"ym-.°`�-,���°• <br />���=n��wu��.n+�n�nm.< vs <br />c.i�cun <br />S�gnature ot OwneuContractoriAuthonzetl Agent � Date <br />