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PERMIT APPLICATION <br /> C!TY OF EVERETT PERMiT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857—�vww.everettv✓a.ory <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM '�n ,r fS/�/3 <br /> SITE ADDRESS pARCEL TAX I.D. # PERMIT# <br /> 1621 41ST ST 00582�0�00�70� ./`/� �=jp-�(��j� , <br /> �ECJ.L LOT NO. BLOCK TRACT � I <br /> OESC <br /> OWNER ADDRESS q7YIZlP PHONE <br /> LA CUESTA RES�AURANT 1621 41ST ST evereit9�zoi 425-263•0q11 CAESAR <br /> TE�IkNTNAh1E �Jennifer Covello 206N774-9499 , <br /> CONTRACTOR \AfESCO ADDRESS ❑TY21P PHONE �j <br /> VY 3909 196 St SW, LYnnw�cd 980��: $00-398-4663 <br /> CONTR. LICENSE H WASHIES971 OB <br /> USE OF BUILDING I — HEAT SOURCE CONTRACT PRICE OF WORK I <br /> Commercial Electric ��as o�h�; $�2g� g2 i <br /> WORK DESCRIPTIOIJ <br /> REPLACE 75 GAL GAS WATER HEATER I <br /> i <br /> PLUMBING MECHANICAL <br /> NO. NPE OF FIXTURE OR �TEt�I N0. TVPE UF FIXTURE OR ITEPA <br /> _ Todet A/C—air handhng unrts <br /> _ BathtuG Forcetl air systems I <br /> _ Lava!ory (wash basln) Gas pipmg <br /> __ Shower i Water he..iter <br /> _ Krtchen sink & tlisposal Gas fireplace <br /> ._ Dish,vasher Gas range <br /> _ Clothes washer Clothes dryer <br /> _ Launtlry t�ay Range hootl <br /> _ Sink (scrvice/baUmople[c.) Exhaustfan <br /> _ Bachliow preventer Hcat pump <br /> ___ Unnal Unrt heater <br /> _ DrinY.ing Fountain Boiier <br /> _ Floor dram Refrigerat�on <br /> _ Greasetrap Wootlsta�e <br /> Roof tlrains Other <br /> Other — <br /> CITV OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> I herebvi cendty that I have read nnd examined Ihis applicaLon and hnow the same to be true and correct All provisions of lav.s and <br /> OrtllnaCeS govefnlr9 lh6lypB Cf WOrk YlIII bB Lbmpll2tl Wllh v/hBthef SpeCllletl herQln of no[. The(�fanUn(� Of a pefmlt does no[ pfesUmB <br /> to g�ve authonty to violate or cancei the provision ot any other sWte or locai law regulaUng oons�rucnon or the pertormance ot <br /> constwcUon. That I am authun2ea by the ownet ot�his property�o perlorm the work for which apphcation is matle and I comply wRh the <br /> State Gontractors Law 19 27 R�bV and 296 200 WAC <br /> I:lyl'.Yq N�nm h.nanllM Nny;�f <br /> Jennifer BurQess Cyrmmi4nba.qr��a=Nu:11N.I5�qF4il.cu*IRYrt111•.1:1 <br /> V'lNAN.�mid.�:-.ntrq:r.pnmP:cm nU1 <br /> Sgnature et Owne«Contracto �AUUionzad ri Date <br />