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SITE ADDRESS <br />7503 7TH DR W <br />L[CzAL LOT NO. <br />LESC r <br />JANE HUDSON <br />TENANTNAME <br />CONTRACTOR 1AlESCO <br />VV <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — wvw�.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />BLOCK <br />CONTR. LICENSE # WAS H I ES97 I OB <br />USE OF BUILDING <br />SFR <br />WORI< DESCRIPTION <br />Install 12K mini split heat pump <br />NO. I TYPC OF FIXTUFE OR ITEM <br />Toile[ <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sink (service/badmop/etc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Greasetrap <br />Roof tlrains <br />Other <br />PARCEL TAX I.D. # <br />00708000015700 <br />TRACT <br />7503 7TH DR W <br />ICONTACT FOR PERMIT <br />Jennifer Burgess <br />ADDRESS <br />3909 196 St SW, <br />HEAT SO�IRCE <br />�, Electric _ Gas _ Other <br />NO. <br />PERMIT # <br />v�(2n5 <br />Everett 9e2o3 425-348-4810 <br />PHONE <br />206-774-9499 <br />qTY21P PHONE <br />Lynnwood 98036 $00-398-4663 <br />CONTRACT PRICE OF WORK <br />$4773.25 <br />L <br />TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Water he3t�r <br />Gas fireplace <br />Gas renge <br />Clothes dryer <br />Range hoo� <br />Exhaustfan <br />Hea[ pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstwe <br />Other _ <br />CITY OF EVERETT LOCAL SALES TA% 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 provisions of iaws and <br />ordinaces goveming this type of v+ork will be complied with whether specified herein or not. The granting of a permit does not presume <br />to qive authority to violate or cancel the provision of any other state or local law regulating mnstruction or the performance of <br />construMion. That I am authori=ed by the owner of this property [o perform the work for which application is made and I comply v�ith the <br />State Con[ractors law 18 ^7 RCW and 296200 WAC. <br />oiau,rri vu��m o-�,�,��n., co,,�,� <br />Jennifer Bur ess �,����,.:r�.���,��,:��.,..�_„�„�,.,=<«F�.�,.��,��:,,,:,t5, <br />ft �a9t. emau-i�,�nuw nnxPnmL<.:m auti <br />Signature ot ownedContrac;o AuthO�l:.2d 817 � D3t2 <br />