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SITE ADDRESS <br />8815 9TH AVE SE <br />L[GAL LOT NO. <br />DESC. <br />ZACH COBBS <br />TENANT NAME <br />CON'fRACTOR \A/ESCO <br />�� <br />P�RMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - w�r�N.everettwa.urg <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />BLOCK <br />CONTR. LICENSE tS � AIAS H I ES9 I � OB <br />VY <br />USE OF BUILDING <br />Residential <br />WORK DESCRIPTION <br />PARCEL TAX I.D. # <br />00731000003400 <br />TRACT <br />8815 9TH AVE SE <br />CONTACTFORPEP.MIT <br />Jennifer 8urgess <br />ADDRESS <br />3909 196 St SW, <br />HEAT SOURCE <br />_ Electric � Gas _ Other <br />I�IO-1� <br />PERMIT # <br />r�tr3n!-o�3 <br />Everett982os 425-501-9538 <br />PHONE <br />206-774-9499 <br />dNIZIP PHONE <br />Lynnvroutl 98036 $00-398-4663 <br />CONTRACT PRICG OF WORK <br />13292.20 <br />Install gas furnace with new gas piping, Install electric to gas tankless water heater with gas <br />piping and extension to both hot and cold waterlines Add gas piping t� fireplace <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />88thtUb <br />Lavatory (wash basin) <br />Showef <br />Ki[chen sinh E disposal <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sink (sarvice/bar/mop/etc.) <br />0ackflow preventer <br />Urina! <br />Dnnking Fountain <br />Floor drain <br />Grease trap . <br />Roo( drains <br />Oih2f IIICwaledinees�en:�nn� <br />NO. � T'PE OF FIXTURE OR ITEfA <br />i <br />9 <br />AfC — air nandling units <br />Forced air systems <br />Gas piping <br />Watef hedter <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />ExhausUan <br />Hezt pump <br />Unit heater <br />euiier <br />Refrigeration <br />Woodstova <br />CIN OF EVERETT LOCAL SALES'fAX CO�E IS 3105 <br />I hereby ceritify that I have read and examined this application and know the same to be true and correcL All provisions of laws and <br />ordinaces goveming this type of work v.nll be complietl with whether specified herein or not The granting of a permit does not presume <br />to yive authority to violate or cancel the provision of any other state or local law regutating construction or the performarce of <br />construclion That I am authori_ed by the ov.ner of this property to perform the work for vih�ch application is made 2nd I wmpty v.�ith the <br />9tate Con[ractors Law 1827 RCW and 296200 WAC. <br />plJl:dry:l�r[f.lqll'rnlL�illu Jnt <br />Jennifer Burqess r11 ��j1ynpmgov. NON11f:L91fFNllau=ltJFIl0581 <br />VI IJ.'ll. em.ill-InvII.��F�wVnmC:.:m c US <br />� <br />