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f <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STRErT, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ` `—IO` ��" _ <br /> PARCEL TAX I.D.# PERMIT# <br /> SITE ADDRESS ('� I�v C� _Qp�I <br /> 8502 6TH AVE SE o066000000�soo � • � <br /> LEGAL LOT NO. BLOCK TRACT <br /> DGSC. <br /> OWNER <br /> ADDRESS qTY/ZIP PHONE <br /> JOSEPH GILL 8502 6TH AVE SE Everett982o3 425-355-3569 <br /> CONTACT FOR PERMIT PHONE <br /> TENANT NAME 206-774-9499 <br /> Jennifer Burgess <br /> CONTRACTOR ADDRESS CIN21P PHONE <br /> WESCO 3909 196 St SW� Lynnwcod 96036 II00-398-4663 <br /> CONTR.LICENSE#WASHIES9/ � OB <br /> USE OF BUILDING I HEAT SOURCE I CONTRACT PRICE OP WORK <br /> SFR _e�ectric ��as_otner $950.00 <br /> WORK DESCRIPTION <br /> Replar,e 50 Gal gas water heater <br /> PLUMBING MECHANICAL <br /> NO. TYPc OF FI%TURE OR ITEM <br /> NO. TYPE OF FIXTURE OR ITEM <br /> A/C—air hantlling units <br /> Toilet — <br /> Bathtub _ Forced �ir systems <br /> Lavatory (wash basin) _ Gas piping <br /> — i Water heater <br /> _ Shower G2s fireplace <br /> _ Kitchen sink E disposal Gas range <br /> _ Dishwasher Cbthes dryer <br /> _ Clothes washer Range hood <br /> Laundry tray — <br /> Sink(service/barlmop/e[c.) _ Exhaustian <br /> Backflowpreventer _ Heatpump <br /> Urinal _ Unii heater <br /> Drinking Fountain _ Boiler <br /> F!oor drain _ Refrigeration <br /> Grease trap _ Woodstwe <br /> = Roof drains I = Other_ <br /> Other — <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritify that I have read and examined this application and hnow the same to be true and correct. All prwisions of laws and <br /> ordinaces governing thistype of worh will be complied with whether specitietl herein or noL The grenting of a permit does not prEsume <br /> to give authonty to violate or cancel the provision of any other state or bcal law reyulating cons[ruction or the pertormance of <br /> construction. That I am authorized by the owner of this property to perform Ihe v.orl<for which application is made and I comply wiih the <br /> State Contractors Law 18 27 RCW and 296.i200 WA�. , e u ,,.,.s <br /> Jennifer Burqess �:���,..,��,..n��,��„�.���„�..,5,«,,,-�,..,, ,�,�,,,,:,,, <br /> v�W n.rm.�iiyn,nW,nnrq,r�miscm n.u5 <br /> Signature of OwnedGontracto Authon-atl " n " ` <br /> ��-""""'— Date <br />