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�J. F <br /> tii,'' — _ — <br />�`�n��� �tRMI'!' AF'I�LICATIOIV <br /> 4�.:�. <br /> .'.�.a?Y <br /> F <br />��� � CITY OF EVERETT PERMIT SERVICES <br /> =' ;;200 CEDAR ST�EET, EVERETf, WA 902�1 <br />,��:r� I <br />� „ 425-257-8810 - FAX 425-257-8857-www.everettwa.org <br />,��.� APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> "` SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> � 9512 Iiolly Dr. 00376700200502 !7 ��2 ��CJ� <br /> LEGA LOT NO. BLOCK TRACT OR SUB6IVISION# <br /> �;r oeSc. 5 2 Arcadia Gardens <br /> :`i`�� OWNER AUORESS CITY2IP PHONE <br /> "' 9512 Holly Dr. 98204 425-348-3241 <br />�4a:, Travia McCandless <br /> Y';f <br /> ��" --� TENANTNAME CONTACTFORPERMIT PHONE 425-876-3684 <br />�i.:�{(i a � <br /> ''�`� Travis McCandless travism2cQgmail.co, <br />•t '�'?�'' EMAIL �.. <br /> �"�"'��?'� A R 3 I / <br /> _-� <br />,.� , � CONTR.LICENSE# ; ��j�j������ <br /> M- <br />� USE OF BUILDING HEAT SOURCE CONTR:1CT PRICE OF WORK <br /> �„ SFR X Electric Gas_Other <br /> �`�� <br /> s<< <br />� ' 'I WORK DESCRIPTION ix <br />�� .,.� Expanding a bedroom and adding a bathroom. Total increase in living area <br /> � �'I is 268 sq. ft . <br /> Adding a small covered area near entry. <br /> t�a''- PLUMBING MECHANICAL <br />��;�:°_ <br /> nk.�.. NO. TYPE OF FIXTURE OR ITEM NQ. TVPE OF FIXTURE OR ITEM <br />�'� w 1 Toilel A/C—air handling units <br /> �� 1 Bathtub _ Forced air systems <br /> < Y.�{ � Lavatory(wash basin) _ Gas piping <br />� �. 1 Shower Water healer <br /> z' ��1 Kitchen sink&disposal Gas fireplace <br />�;; _ Dishwasher _ Gas range <br />�,,,ggg _ Clothes washe Clolhes dryer <br />� = Water heater Range hood <br /> Sink(serviceibadmop/etc.) 1 Exhaust fan <br /> Backflow preventer _ Heat pump <br />�`` Urinal Unit heater <br />�:�:� — — <br /> �„�„y _ Drinking Founiain _ Boiler <br />� �'� Floor drain Relrigeralion <br />'�,�''�S _ Grease lrap _ Woodstove � <br />��� '� _ Rooidrains __ Other_ �� <br /> Other <br /> � — — — <br /> 'I -- — -- — I>�? <br /> ,,,��I <br /> i CITY OF EVERFIT LOCAL SALES TAX CODE IS 3105 <br /> ,;;R' I hereby ceritify that I have read and examinetl ihis application and know the same to be true and correcL All provisions of laws a�d n <br /> ordinaces governin�this type of work will be complied with whelher specified herein or noL The granting of a permit does not presume ",e <br /> t� to give au�hority to violale or cancel the provision of any other state or!ocal law regulatinc�construction or the performance of � <br /> consiruction. That I am authorized by ihe owner ot this property to perform ihe work for which applicatiun is made and I comply with the � <br /> y Slate Cy�fractors Law 1827 RCW and 296.200 WAC. ' <br />�? . f //��__—�, � �o <br />'�i�h�4 � �f Z�Org i. <br />�''A'�t:. Signaly�e of OwnedContractodAuthorized Agent Date �/� �.; <br />� � / � <br />� -�t�� <br />- "::1 <br /> - _ . - -�--f.. <br /> � ..�� .�..:._. . . � x�; -� , <br /> 5 �. LL '« �r:'. <br /> � ��.. <br />�'' zT r '�' ' ' i u� n . � � . � tt . a� . <br /> � ����` �,r��-N�. S1'#'.� Wx,�{,+ ^�� � %' o <br /> y , .. � . � � ��.. �. � . <br /> ��T _O y 4' "'t � �': '�.I��� � A . � i. <br /> � ^ r_ <br /> k i 'Yn : y i6�=� ° ' fwi�"yg�J C t.,. � n .�. -� ��, <br />`��'� —... �. a�' a �._ .:.�i'�6�� r,� ��` f �. '"`R � '� •�-�� <br />