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�O\•\-03-)J ZJ �9 Iir Ic\r.n\ 1 \nnn YUW Jr\J • rn,n UwYnrn\r 91rrw\Jw <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98261 <br />425-257-8810 - FAX 425-257-8857 - vhvvv everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �I 4 ILI <br />SITE ADDRESS PARCEL TAX I.D. 4 PERMIT 0 <br />1610 SCENIC DR 00393900200105 qj f qQ2 -0�0 <br />LEGAL LOT NO. BLOCK TRACT <br />DESC <br />OWNER ADDRESS CITYIZJP PHONE <br />PENELOPE PITTIS 1610 SCFNIC DR Everett98203 206-999-2198 <br />TENANT NAME I CONTACT FOR PERMIT PHONE <br />IJENNIFER COVELLO 206-774-9499 <br />CONTRACTOR 1A IESCO ADDRESS CITVIz1P PHONE <br />V V 3909 196th St SW Lynnwood 800-398-4663 <br />CONTR LICENSE X WASHIES971 OB <br />USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br />RES 1[—Eiectnc —Gas —Other 6404 _ <br />WORK DESCRIPTION <br />INSTALLING MINISPLIT HEATPUMP. LOCATION: OUTDOOR UNIT IN THE BUMP -OUT IN BACK OF <br />HOUSE, 12K UNIT TO LEFT OF WINDOW IN LIVING ROOM, 9K UNIT REAR WALL LEFT OF WINDOW <br />IN OFFICE <br />PLUMBING <br />NO. I TYPE OF FIXTURE OR ITEM <br />MECHANICAL <br />NO, TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sink (service/badmop/etc) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />,_ <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaust fan <br />Heat pump <br />Unit heater <br />Boller <br />Refrigeration <br />Woodslove <br />Other <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby centify that I have read and examined this application and know the same to be true and correct. All provisions of laws and <br />ordinates governing this type of work will be complied wnh whether specified herein or not. The granting of a permit does not presume <br />to give authority to violate or cancel the provision of any other state or local law regulating construction or the performance of <br />construction That I am authorized by the owner of this property to perform the work tot which application is made and 1 comply vnth the <br />State Contractors Law 18 27 RCW and 2n$Qp,vg,,,,,,,nra <br />Jennifer Covello °°�..�,n�nb.�w� <br />Signature or OwnerlConlractor/Authonzed Agent Date <br />