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re � -..o.. o �. �. eui �.m.oe o.. ..� z. �oo,�r� .�.ni..0007�u �.o... o..n�..... �..�..m.. <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM H AM TO 4 PM 3�� �-� � <br />SITE ADDRESS PARCEL TA% I.D. � PERMIT M <br />4618 SEAHURST AVE 00505700005103 (i1(� 03 — nl D <br />LOT NO. � BLOCH I TRACT <br />DESC r I <br />OWNER <br />JAMES R JESCHKE <br />TENANT NAME <br />CONTRACTOR \n/ESCO <br />VV <br />CONTR.LICENSE� WASHIES9710B <br />USE OF BUILDING <br />RESIDENTIAL <br />WORK DESCRIPTION <br />4618 SEAHURST AVE <br />PHONE <br />e�erettsezo� 425-252-4768 <br />CONTAGT FOR PF.RMIT PHONE <br />JENNIFER COVELLO 206-774-9499 <br />ADDRESS CITYIZIP PHONE <br />3909 196th St SW Lynnwood 800-398-4663 <br />REPL/10E 50 GAL GAS WATER HEATER <br />NO. I TVPE OF FI%TURE OR ITEM <br />roliet <br />6athtub <br />Lavatory (wash basin) <br />Showcr <br />Kdchen sink R disposal <br />Dishwasher <br />Clothes wa;her <br />I.aundry �ray <br />Snk (sorncclbar/mopletc.) <br />Dackflow prevenler <br />Uunal <br />_ Drink�ng Foun�ain <br />floor drain <br />Grcasc trap <br />Rool drains <br />Olher <br />.`IEAT SOURCE <br />Eleclnc � Gas _ Olhe� <br />CONTRACT PRICE OF WORK <br />950 <br />NO. I TYPE OF FI7(TURE OR ITEM <br />NC — air hantlhng unas <br />Forced air systems <br />Gas pipmg <br />+ Water heater <br />Gas fireplace <br />Gasrangr. <br />Clothes dryer <br />_ Range hood <br />[rhaust(an <br />Heat pump <br />Urnt healer <br />�oJci <br />_ Refrigcrahon <br />Woodstove <br />Olhcr <br />CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br />� hereby cenhty Ihal l have reatl and examined this applicahon and know the same to be true and cortect All provisions o� law; and <br />ordinaces goveming this rype of work vnll be complied wnh wheU�er speal�ed herein or nol. The granting of a permit docs not presume <br />to grve auUionty �o wolate or canu�l �he prov�son ol any ottier slale or local law regulaling conslruction or the peiform:�nce ol <br />conctruclion. Thal I am authonzed by Ihe owner o( this propeny to pertorm thc work lor vdiich appLcation i; made and I comply wnh Qie <br />Statc Conhactors Law 1� 27 RCW and 29fb�QQ ����, ,,, <br />Jennifer Covello °° � ° �°� "��°="�°°,T°���°° <br />e.ilii, .r.��m.rom���ui <br />ILI[lDLlIl1p(�l � M�� n� m <br />Signature of OwnedContractor/Authonzetl �genl Date <br />