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ML <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — wvvw.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM 5 <br />SITE ADDRESS PARCEL TAX I.D. # PERMIT # <br />514 47TH ST SE 29053100305600 mt305-03 <br />LEGALI LOT NO. BLOCK TRACT <br />DE5C. <br />OWNER ADDRESS CITY/zIP PHONE <br />BOBBIE & RICK STENCIL 514 47TH ST SE Everett 98201 425-252-6737 <br />TENANT NAME <br />CONTACT FOR PERMIT PHONE <br />Jennifer Burgess 206-774-9499 <br />CONTRACTOR WESCO ADDRESS aTY21P PHONE <br />VV 3909 196 St SW, Lynnwood 96036 800-398-4663 <br />CONTR. LICENSE" WASHI ES971 OB _ <br />USE OF BUILDING <br />HEAT SOURCE <br />CONTRACT PRICE OF WORK <br />Residential <br />_Electric V/_ Gas —Other <br />I 12098.80 <br />WORK DESCRIPTION <br />ELEC TO GAS 60K FURBNACE WITH 30' GAS PIPING, INSTALL 33K GAS FIREPLACE <br />WITH 5' GAS PIPING, ELEC TO GAS TANKLESS WATER HEATERM WITH 10' GAS PIPING <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />NO. TYPE OF FIXTURE OR ITEM <br />_ <br />Toilet <br />A/C -air handling units <br />Bathtub <br />Forced au systems <br />_ <br />Lavatory (wash basin) <br />3 <br />Gas piping <br />_ <br />Shower <br />1 <br />Water heater <br />_ <br />Kitchen sink & disposal <br />t_ <br />Gas fireplace <br />_ <br />Dishwasher <br />Gas range <br />_ <br />- '.oes washer <br />Clothes dryer <br />_ <br />Laundry tray <br />Range hood <br />Sink(service/bar/mop/etc.) <br />Exhaust far <br />_ <br />Backtlow preventer <br />Heat pump <br />_ <br />Urinal <br />Unit heater <br />Drinking Fountain <br />Boner <br />Floor drain <br />Refrigeration <br />_ <br />Grease trap <br />Woodstove <br />_ <br />Roof drains <br />Other <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby cenbfy that I have read and examined this application and know the same to be true and correct. All provisions or laws and <br />ordinates governing this typo of work will be complied with 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 local law regulating construction or the performance of <br />construction That I am authorized by the owner of this property to perform the work for which application is made and I comply with the <br />State Contractors Law 18.27 RCW and 296.200 WAC. <br />elgiurt/Upn MJ'Hf"bmgni <br />Jennifer Burcjess OLLrnJrnntln Burg[1t a.NOPIIN ESTRPNIi,nuvl nfl11NR51 <br />VfM1Mrt, tmALlmnrtnrt�+gmmOnim c-US <br />Signature of Owner/Contracto Authonzad A Date <br />