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PERMIT i41'PLICATION <br />CITY OF EVERETT PERMIT SERVOCES <br />3200 CEDAR STREET, EVERETT, WA 987.01 <br />425-257-8810 — FAX 425-257-8857 — wv�nN.everettwa.org <br />SITE ADDRESS <br />2208 18TH ST <br />Lf_Gl�L LOY NO. <br />DE^C <br />RICHARD WILLIAMS <br />TENANT NAh7E <br />CONTRACTOR lA/ESCO <br />VV <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />BLOCK <br />CONTR.LICEIJSE7! WASHIES971OB <br />USE OF B�ILDING <br />Com <br />WORK DESCRIPTION <br />Il � <br />I PARCEL TAX I.D. # <br />1 sa2oa <br />TRACT <br />2208 18TH ST <br />CONTACT FOR PERMIT <br />Jennifer Burgess <br />AOORE55 <br />3909 196 St SW, <br />REPLACE 40 GAL GAS WATER HFATER <br />NO. I TYPE OF FIXTURE OR ITEh7 <br />Tcilet <br />Bathtub <br />�a�atory (wash basm) <br />ShOwer <br />Kitchen smk E disposal <br />Dishwasher <br />Clo�hes v/asher <br />Laundry tray <br />Smk (semce/badr:iop/etc ) <br />Backllow prevenfer <br />Unnal <br />Urinkmg Fountain <br />Floor drain <br />Gicase trap <br />Rool drains <br />Other <br />HEATSOURCE <br />Electric ]� Gas _ Other <br />� -- l� --�3 <br />PERMIT # <br />ti1 ( 30 % <br />pTVIZIP PHONE <br />Everet� 98201 425-327-5437 <br />PHONE <br />206-774-9499 <br />CJNIZIP PHONE <br />Lynnwood 9Ei036 800-398-4663 <br />CONTRACT PRICE OF WORK <br />$950 <br />NO. I TYPE OF FIXTURE OR ITE�A <br />� <br />A/C - air handl�ng unil; <br />Forced au systems <br />Gas pipmg <br />Water heater <br />Gas fueplace <br />Gas rangc <br />Gothes dryer <br />RanyehooU <br />Exhaust fan <br />HFat pump <br />Unit hc:dr.r <br />Boilc; <br />Hnfngmahon <br />V�Joodsto+e <br />I Olher --- ----_ <br />� CITV rIF EVERETT LOCAL SALES TAX COD[ IS 3105 � <br />I hereby cerihty ihat i have read and examinr.d Ihis apphca�ion and Bnow the same to be true and ccrrect �li provisions of lav5 and <br />ortlinaces governing this type ot work wdl he comphetl wdh wheth?r speahed herein or not Thr �r;nbny ol a peimd does not presume <br />to yive authoriry to violale or cancel Ihe prnvision nf any othCr state or local law regula�mg cr�nsiruCUon or ihe peAormante ol <br />con;Uuction That I am aulhonretl by the owner ot this property to peiform ihe work �or which application Is made and I comply wdh the <br />State Contraclors Law lE 77 RCW and .^:96 200 W�C <br />1:1:p.ury Ugnr I �Y lerni@� Nm9^t� <br />Jennifer Bur�ess I�Im:rnqnllu�q^t�cNN�11V/6�IIP1.9f u1[.�i111Jli� <br />I'IIVIiI ♦ A-Im�,�InftnwP�rmP,�u�n[.U`. <br />na R1t�1Y�1t^�YR1'-- <br />Signature ol OwnerlContracto Authon_.zd ii P� � Date <br />