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SITE ADDRESS <br />6727 WILLOW RD <br />LEGAL LOT NO. <br />DESC. <br />ROBERT MACE <br />TENANTNAME <br />CONTRACTOR \A/ESCO <br />�� <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT BERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />BLOCK <br />CONTR. LICENSE d`^,Ac H I ES9'7 � �B <br />VV J <br />USE OF BU�LDING <br />SFR <br />WORK DESCRIPTION <br />PARCEL TAX I.D. # <br />00435800000500 <br />TRACT <br />6727 WILLOW RD <br />ICONTACT FOR PERMIT <br />Jennifer Burgess <br />ADDRESS <br />3909 196 St SW, <br />HEATSOURCE <br />Electric � Gas _ Other <br />Install tankless water heater with 60 feet of gas pipiny <br />NO. I NPE OF FIXTURE OR ITEM <br />Toilet <br />8athtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sinh (service/barlmop/etc.) <br />Bachflow preventer <br />Urinal <br />Dnnking Fountam <br />Floor drain <br />Grease trap <br />Roof drains <br />Other — <br />PERMIT # <br />1'1 i�r�i - D�`--� <br />Everett 98zo3 425-353-2754 <br />PHONE <br />206-774-9499 <br />�iYIZIP PHONE <br />Lynnwood 98036 $00-398-4663 <br />CONTRACT PRICE oF wvHn <br />$3636.00 <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/G —air handling units <br />Forced air sysiems <br />i Gas oiping <br />i Water heater <br />Gas tireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heatpump <br />Unit heater <br />6oiler <br />Retrigeration <br />Wood=trve <br />Other <br />CIN OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritity thal I have read and enamined this application and hnow ihe same to be ;rue and correct. All provisions of lav.s and <br />ordinaces governmg this type of �wrk �+nll be comphetl ��th 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 lowl law regulating mnstruciion or the pertormance of <br />construction. That I am authorized by the owner ol this property to periorrr. �he �+rork for whkh application is made antl I mmply with the <br />St2te Cont�aCtors L8w 1827 RGW a0A 296p�300 WAC+ r ry gm <br />�enr�ifer Buraess �Nn�l[mMPur�����.II:Mi10'dS�HFF'II-.u=NJP�10t151 <br />fLkV I�. email-�mnOtyLrv��x➢�+mL[tT �'US <br />