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PERMIT APPLICATION <br />CITY OF EVERETT 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 % 15 —1 3 <br />SITE ADDRESS <br />PARCEL TAX I.D. # <br />PERMIT # <br />801 89TH ST SE <br />00729300000600 <br />003 <br />LEGAL LOT NO. <br />BLOCK <br />TRACT <br />DESC <br />OWNER ADDRESS Q 21P PHONE <br />HIEN HUYNH 801 89TH ST SE Everett98201 425-876-6204 <br />TENANT NAME <br />CONTACT FOR PERMIT PHONE <br />Jennifer Burgess 206-774-9499 <br />CONTRACTOR 1A/ESCO ADDRESS CITY21P PHONE <br />VV 3909 196 St SW, Lynnwood 98036 800-398-4663 <br />CONTR. LICENSE 0 WASHIES971 OB <br />USE OF BUILDING <br />HEAT SOURCE <br />CONTRACT PRICE OF WORK <br />Residential <br />_ Electric !0 Gas —Other <br />$950 <br />WORK DESCRIPTION <br />REPLACE 30 GALLON GAS WATER HEATER <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />NO. TYPE OF FIXTURE OR ITEM <br />Toilet <br />A/C — airhandlingunits <br />_ <br />Bathtub <br />Forced air systems <br />_ <br />_ <br />Lavatory (wash basin) <br />Gas piping <br />Shower <br />I <br />Water healer <br />_ <br />Kitchen sink 8 disposal <br />Gas fireplace <br />Dishwasher <br />Gas range <br />_ <br />Clothes washer <br />Clothes dryer <br />_ <br />_ <br />Laundry tray <br />Range hood <br />_ <br />Sink(servlce/bar/mop/etc.) <br />Exhaust fan <br />_ <br />Backflow preventer <br />Heat pump <br />Urinal <br />Unit heater <br />_ <br />_ <br />Drinking Fountain <br />Boller <br />Floor drain <br />Refrigeration <br />_ <br />_ <br />Grease trap <br />Woodstwe <br />_ <br />Roof drains <br />Other <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE iS 3105 <br />I hereby ceritify that I have rend and examined this application and know the same to be true and correct, All provisions of laws and <br />ordmaces governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume <br />to give authority to violate or cancel the provision of any other state or local law regulating construction or the performance of <br />construction. That I am authorized by the owner of this property to perform the work for which application Is made and I comply with the <br />State Contractors Law 18 27 RCW and 296 200 WAC. <br />voi aanuIn ua,wn e��n� <br />Jennifer Burciess o- nrAn Rvq nu•I URIiMlSi 0.RAY1, ou•N RIIMSSI <br />I, N/II, m,all•,nWlnlrnwlnmht.tr,� [ •US <br />Signature of Owneru ontracto Authoriz of X§IbAl Date <br />