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7o E Page 2 ot 3 20�4•OS-29 1730.25(GMT) 18884000383 From�. DeGoreh Shields <br /> . .___ • . ___.._—_—_ <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 — FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM S �a9�-I � <br /> SITE ADORESS PARC�L TA% I.D.# PERMIT 71 <br /> 804 48TH ST SE z9o53�00300800 �� � �-{�}�—Q�Q <br /> LEGAL LOT N0. BLOCK TRACT <br /> DESC <br /> OWNER ADDRE55 CITYILP PHONE <br /> WILLIAM BEECHER 804 48TH ST SE Everelt 98203 425-25�-6772 <br /> TENANT NAME CONTAGT FOR PERMIT PHONE <br /> JENNIFER COVELLO 206-774-9499 <br /> CONTRAGTOR \A/ESCO ADDRE55 CITVIZIP PHONE <br /> �� 3909 196th St SW Lynnwood 800-398-4663 <br /> CONTR.LICENSE K WAS H I ES971 OB <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> RESIDENTIAL I _e�ectnc �Gas_Other 6691 .00 <br /> WORK DESCRIPTION <br /> Propane to gas SOk furnace with 20' gas piping and elec to gas tankless water heater install <br /> wilh 20' gas piping <br /> PLUMBING MECHANICAL <br /> NO. TVPE OF FIXTURE OR ITEM NO. TYPE OF FIxTURE OR ITEM <br /> Toilet PJC -air hantlhng un�ts <br /> BalhWb � Forced air systems <br /> Lavatory(wash basin) � Gas piping <br /> Shower + Water heater <br /> Kdchen sink 8 d�sposal Gas fireplace <br /> Dishwasher _ Gas renge <br /> Clothes washer � Clothes dryer <br /> Wundry iray Ranye hood <br /> Sink (servicelbar/mop/elc) Exhaust fan <br /> Backllow preventer Heat pump <br /> Unnal Unit heater <br /> _ Drinkmg Fountain Boiler <br /> Floor drain Refrigeralion <br /> Grease trap VJoodstove <br /> Roo1 drains Other <br /> Other _ <br /> CITY OF EVERETT LOCAI SALES TAX CODE IS J105 <br /> I hereby ceritify that I have read and examined Ihis application and know the same ro be true and correct All prowsions of laws and <br /> ordinaces governing this rype ot work will be complied wl�h whether spzcified herein or nol. The graNing of a permit does not presume <br /> to grve authority to violate or cancel the provision ot any other state or local law regulating wnstruction or the pertormance of <br /> construcuon. That I am aulhorized by the owner ol this property to pertorm the work for wMch application is made and I comply with Ihe <br /> State CoNracbrs Law 1827 RCW and 29�7��A,}�E,4�,���,,,�w„e <br /> Jennifer Covello ��.�..��„�,�o..,��,,,a,�.�,,o.,m,,,���� <br /> -mnl=pnn(n4+nnprmit mm,pUf <br /> Il��r.)0 �11(A��.>Sli�+1SM <br /> Signature of OwnedConlractor/Authoriied Aqent Date <br />