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PERMIT APPLICATION <br />CITY OF E�OERETT 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 <br />SITE ADDRESS <br />5019 9TH AVE W <br />I.EGAL LOT NO. BLOCK <br />DESC. <br />OWNER <br />PENNY DIRE <br />TENANT NAME <br />CONTRACTOR 1A/ESCO <br />vv <br />CONTR. LICENSE # 1 n�AS H I ES97 � OB <br />VV <br />USE OF BUILDING <br />Residential <br />WORK DESCRIPTION <br />Replace 80k gas furnace <br />PLUM8ING <br />NO. I IYPE OP FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />' Kitchen sink E disposal <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sink (service/baUmop/etc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />PARCEL TAX I.D. # <br />00731000003400 <br />TRACT <br />5019 9TH AVE W <br />CONTACT FOR PERMIT <br />Jennifer Burgess <br />ADDRESS <br />3909 196 St SW, <br />HEAT SOURCE <br />, Electric � Gas _ Other <br />NO. <br />PERMIT # <br />Everett 58203 425-252-0886 <br />PHONE <br />?_06-774-9499 <br />pN21P PHONE <br />�yn�wood 98036 $00-398-4663 <br />CONTRACT PRICE OF VVORK <br />2393.00 <br />TYPE OF FI%TURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heatpump <br />Unit hea[er <br />Boiler <br />Refrigeration <br />Woodstove <br />CITY OF EVERETr LOCAL SALES TAX CODE IS 3105 <br />I hei�by ceritify that I have read and examined this application and knowthe same to be true and correct All prwisions of laws and <br />ordm�^=s goveming this type of worh will be complied with whether specifietl herein or noi. The granting of a permii does not oresume <br />to c�ive authority to violate or cancel the provision of any o[her state or local law regulating oonstruction or the performance of <br />cons[ructioa That I am authorized by [he ovmer of this property to perform the work for which anpli�, tion is matle and I comply with ihe <br />Sta[e Contrectors Law 1827 RCW and 296200 WAC. <br />�Iqidr! 99rr� iry av�riM tlmqest <br />Jennifer Buraess ;,,����;:��m:,;;�:�,;.,°�:,�;�m��°�m����s�,�,.��-,��,,,::t=, <br />