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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERE'fT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everetN✓a.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADORESS <br />5201 WETMORE AVE <br />LEG4L LOTNO. BLOCK <br />DESC <br />OWNER <br />DENNIS A OYLER <br />TENANT P'A�AE <br />CONTRACTOft \A/ESCO <br />VV <br />CONTR. LICENSEp WASHIES971 OB <br />USE OF �UILDING <br />RES <br />WORK DESCRIPTION <br />PARCEL TA%I.D. M <br />00495801400201 <br />TRACT <br />5201 WETMORE AVE <br />CONTACT FOR PERMIT <br />Jennifer Covello <br />ADDRE55 <br />3909 196 St SW, <br />NEATSOURCE <br />_ Electnc � Gas_ Other <br />REPLl10E 50 GAL GAS WATER HEATER <br />NO. I NPE OF FIXTURE OR ITEM <br />TodCt <br />63Ih W b <br />J L3v2tOry �v.35h basin) <br />Snower <br />KAchen smk 8 disposal <br />Dishwasher <br />Clothes washer <br />Launtlry tray <br />Sink (service/bar/mop/etcJ <br />�achtlow p reventer <br />Unnal <br />Dnnkmg Fountain <br />Floor tlrain <br />Grease trap <br />Rool Orains <br />Other <br />� <br />� '0��`��� <br />PERMIT ff <br />98203 425-446-2564 <br />PMONE <br />206-774-9499 <br />QTVIZIV PHONE <br />Lynnwoo0 seo36 g00-398-4663 <br />CONTRACT PRICE OF WORK <br />950.00 <br />TVPE OF FIXTURE OR ITEtA <br />AfC — air handhno unds <br />FOrCetl 2R 5y5iCm5 <br />Gas pip,ng <br />Waler healer <br />Gas hrep�ace <br />Gas ranye <br />Clothes d�yer <br />Rangchood <br />Exhaustfan <br />Heatpump <br />Unit heJtcr <br />Boiler <br />Re'ngerahon <br />WoodStovc <br />Other _ <br />CITV OF EVERETT LOCAI SALES TAX CODE IS 7105 <br />I hereUy centdy that I have read and examine0 this applicaUon and kncw the same to be true and correct All prwisions o1 laws antl <br />ordinaces goveming thistype ol work will be comp6etl wRh wheihe� spe[d�ed herein or not The granting of a permrt does not presume <br />to grve authonty to vlolate or cancel the provis�on of any other s�a1e or local law regulating mnsiwcticn or tne pertormance of <br />conslruGion That I am authonied by the ovmer of this prope .ty to perform the work br whrch applicahon is matle and I comply wrth thc <br />State Contractors Law 18 27 RCW and 296 200 WAC <br />Diqqa^r n�n^� M �mnihi Bmgw <br />Jennifer Bur�ess fn_M1;o��lnqurGp�tad�p+IN.@SI�IPYII,cnrpFiNWcP <br />c�rrin. mu.i-I������+a�+m�•��ucm c=us <br />Swnatme of Ownci,Conuacto �uthonzaa " ei�4�"'�"�"'� �� Date <br />