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� <br /> `Y, <br /> P�RMI�' APPLIGATION �,; <br /> CITY O� EVER�TT PERMIT SERVICES ',.; <br /> 3200 CFDAR STREET, FVERETT, WA 98'201 � <br /> 425-257-3810— FAX 425-257-8857—wNrN.everEttwa.crg � <br /> .0 <br /> A.PPLICATIONS ARE ACCEPTED FRONI 8 AM TO 4 PM � �- a � —/7i C <br /> f'. <br /> SITE HDDRESS PARCcI. TAX LD.# PERMIT# �� <br /> 327 4?_ND ST SW 00606200002701 2 — `�_ <br /> LE�L LOTDlO. BLOCK TRACT ' <br /> DESC. � <br /> OWNER ADDRESS pTY21P PHONE <br /> NANCY FARLEY 32i 42f�D Sr SW �verettse2o3 425-238-6412 <br /> TENMIT NAME CONTPCT FOR PERMIT PF.JNE <br /> IJennifer Burgess 206-774-�499 <br /> CONTRACTOR \A/ESGO ADDRESS pTYIZIP PHONE <br /> �� 2800 Thorndyke SF_ATTLE 800-398-4663 <br /> CONTR.LiCENSE#WAS H I LS97� OB <br /> USE OF �UILDING I HEAT SOURCE I CONTRACT PRICE OF WORK <br /> S�� E�ectric �Gas_otner $950 <br /> WORK UESCRIPTION <br /> Replace 50 Gal gas ��:c�ter heater <br /> PLUM3WG MECHANICAL <br /> NO. 1YPE OF FIXT'�'RE OR ITE`d NO. 1YPE OF FIXTURE OR ITEA7 <br /> Toiiet _ A/C–air handling units <br /> Bathtub _ Forced air systems �� <br /> Lavatory (wash basi�) _ Gas piping <br /> Shower i Water heater <br /> Y.itchen<ink E dispo��al _ Gas tireplace <br /> Dish•.vasher _ Gas range <br /> r,lothes washer _ Clothzs dryer <br /> Laundry tray _ Range hood <br /> Sink(servic=/ba/mop/etc.) _ Exhaustfan <br /> Backflow preven!er _ Heat pump <br /> Urinal _ Unit hea[er <br /> Drinking Fountain _ Boiler <br /> Floor drain _ Refrigeration <br /> Grease trap _ Wootlstwe <br /> Roof drains _ Other <br /> Other — <br /> CITV O' EVERETT LOCAL SALES TAX CO�E IS 3105 <br /> I hereby ceritify that I have read and examined this application and know the same to be irue and correct. All provisions of laws and <br /> ortllnaces governing this type of work will be rnrc�riied with whether specified herein or not.The granting of a permit does not presume <br /> to give authority to vWlate or cancel the provision of any other state or local law regulating construction or the pertormance ot <br /> construction. That I am authorized by the o�mer of this property to perform the work for which application is made and I comply with the <br /> State Contractors Law 1827 RGW and 296200 WAC. <br /> fJqLBry+IqncC W Imni/n Nw9ns <br /> .Jennifer Burqess °�M��'�°,'�M������'mnccm�c�os ��',V-rqfrnPtfSr <br /> SignaWre of OwneUContracto Au[horcad " eti '" ' `�" ' �— Date <br /> — y.;�-A"nh• <br />