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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257•8857 — www.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITF ADDRESS <br />1010 WOODLAWN AVE <br />LEGAL LOTNO. BLOCK <br />DESC <br />LOUIS D' ANDREA <br />TENANTNAME <br />CONTRACTOR 1A/ESCO <br />VV <br />GONTR. LICENSE 4 WASHIES971 OB <br />USE OF BUILOING <br />RES <br />WORI< DESr_RIPTION <br />PARCEL TAX �.D. # <br />00402900007_300 <br />TRACT <br />1010 WOODLAWN AVE 98023 <br />CONTACT FOR PERh11T <br />Jennifer Covello <br />��—f� ""�� <br />PERMIT # <br />31Z-O2� <br />PHONE <br />206-214-6667 <br />PHONE <br />206-774-9499 <br />A�DRESS QTY21P PHONE <br />3909 196 St SW� Lynnwoad 9tl036 g00-398-4663 <br />NEATSOURCE <br />_ Electnc � Gas _ Olher <br />REPLACE 40 GAI_ Gl1S WATER HEATER <br />NO. I TVPE OF FIXTURE OR ITEM <br />Toilet <br />BathtuU <br />Lavatory (wash bas�n) <br />Shower <br />KitUicn sinY. E di5po5al <br />Dishwasher <br />Ciothes washer <br />Launtlry tray <br />Sink (sernce/Uarlmop/elc ) <br />�acktlow pieventer <br />Urmal <br />Orinking Founiain <br />Floor drain <br />Gicase Irap <br />Kool drams <br />OIhPf <br />CONTRACT PRICE OF WORK <br />750.00 <br />NO. I TYPE OF FI�(TURE OR ITEIA <br />NC — air handl�ng unds <br />Forcen au systems <br />Gas piping <br />Waler heater <br />Gas tueplace <br />Gas rangc <br />Clothes dryer <br />F2angc hood <br />Exhausl lan <br />Heat pump <br />Unit hca�cr <br />HOdEf <br />Retngcral�on <br />Wootlstove <br />Other__ _ <br />CITV OF EVERETT LOClLL SALES TAJ( GODE IS 1105 <br />I here�y ceritify Ihat I h.ve reatl and eramirCd this application antl knowthe same to Ue Irue and Conect All provisions ol laws and <br />ordinaces governing Ihislype ol woik vnll be comphetl Hnth whetner specdied herein or not Tile granhng of a permd tloes not presUme <br />to grve aufho�ity to violate or cancel thn piovision of any nihpr stata nr local law �egulaUn� mnsVu[hnn or the pedormance ot <br />ton;;ruction That I am author¢Cd by ihe ovmer ot Ihis pioperty to pciform the work for whKh apphcahon is maAe anU I comply w4h lhe <br />Stale Contractors Law 18 ?7 RCW antl ?96 200 W�C <br />laqie,n� aqrN Lr'n,�ip, nu�ar., <br />J e n n i f e r B u r e s s,..,, ;�,,,.�.,,��,.��,, ,,,�„��tS,,,FN,,. ��,.�n,,,,,,,,,, <br />,....�.� �m,��.,,.,,,��„«.�..,,�,m����m..�t <br />Cinnalurn nl nwnnrlllnnirvin Authnn; tA AAF(li•t�e•��� .. DdIB <br />