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��r �nJn � �. n /C��J-�(.11� i1 ��f �M �l�rsT� NifNnOVCI)n:� Yru��� L�n��u�wr� '.r in�i�� <br /> i._ _ <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 9820' <br /> 425-257-8810 - FAX 425-257-8857 -www everetlwa org <br /> � <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM /.a ` � —8 '3 � <br /> SITE A�DRESS PARCEL TAX I.D. # PERMIT d <br /> 516 47TH ST SE 29053100305700 I�Y� 1?�)�,— vss_ <br /> IEGAL LOT N0. B�OCI( TRAC7 <br /> � <br /> DEgr � _ II <br /> ��i OWNER ADDRESS CiTY�LP PHONE � <br /> � �nini Tr_� nnrJO�c �?� �7T1_1 �'r �C nfln�o n7C .1f17 .f a �(1 <br /> VVf1L 1 L \ LJI \ \�.1 JV VLJ �LJ-'rC/J"Y I 1 U <br /> TENANt NAME CONTACT FOR PERMIT PHONE <br /> Jennifer Covello 206-774-9499 <br /> CONTRACTOR �A/ESCO ADDRESS CITYILP PHONE <br /> �� 3909 196 St SW, �+^����d 9A�-� 800-398-4663 <br /> CONTR. LICENSE+�WASH I ES971 OB <br /> USE OF BWLDING ' HEAT SOURCE CONTRACT PRICE OF WORK <br /> RES __ Electnc �6as_Other �� �]Fj <br /> I <br /> WORK DESCRIPTION <br /> iADDING ON TO EXISTING HP SYSTEM <br /> � , <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF PIXTURE OR ITEM NO. I TYPE OF FI%TURE OR ITE�d �I <br /> Toile� :JC - av handl�rg unas i <br /> Bathlub Forced a;r syste�ns <br /> ! Lavarory(wash basin) Gas piping <br /> Shower Water heater <br /> K�tchen smk 8 d�sposal Gas fireplace <br /> O�,hwasher Gasrang= <br /> Clothes washer Clo�hes dryer <br /> Laundry tray Range hood <br /> S�nk (;erviU?Ibar/mopretc ) Exhausl �an <br /> 6ackpo�.v preventer Heal pump <br /> Urinal Unit heeler <br /> Drmking Fountain _ F3oder <br /> floor drain Refngeralion <br /> Grcase trap VVoodstove <br /> Rool drain; Other <br /> Other _ <br /> CITY OF EVFRETT LOCAL SALES TAX CODE IS 7105 <br /> I hereby cerdiry(hat I have read and eramined ihis applicahon and knuw Uie same to bz true and conect Ai1 prows�ons of laws and <br /> ordinaces govem�ng thi,ryp?of work vrll be comphed wdh whelher spec�Ged herein or nol The granUng of a permq does not presume <br /> to grve authority to vwlate or cancel the provision of any other slate or local law reyulating construction or ihe performance o( <br /> con,trua�cn That I am authonzed by the wvner o(Ihis property to perform the work for which apphe,;tion is made;nd I compty wnh the <br /> Slale Contraclors law 18 2 i RCW and 29o.2Q0 WAC. <br /> .�ennifer Buraess "�'�`���'�"�������"" <br /> orv<�-.m�r,.eo,��n.o:r.�mnH:rr r.rn��w-rnmm�i s� <br /> V(IV.�.J e uil-�ernRa4v�Mrm nbf <br /> S�gnaWre of OvmedContracto iAuthon�ad geM' ' '"-'� Date <br />