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Mar 21 07 10:09a <br />SITE ADDRESS <br />4626 H v <br />LEGAL LA7ND. <br />DESC. 27 <br />OWNER FOL <br />F3eth Cacha <br />7ENANTNAME <br />Vanessa �i <br />CONTRACTOR <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETi, WA 98201 <br />425-257-8810 - f�AX 425-257-8857 - www.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. # <br />� <br />BLOCK T�AGT <br />IQ�—C?= <br />p�ORESS <br />20701 150 Ave SE tdor <br />QONTACT FOR PERMIT <br />!j <br />-� �>> �� �� � �o< <br />ADDRE55 <br />PHONE <br />��425-299-82A0 <br />CRY21P PHONE <br />Ili # <br />03-U1 <br />cor+rrtuceNsesl9ocbrucker POT3 795 IIothell 9804I 425-776-0808 <br />USE OF BUILOING <br />NO <br />WORK �ESCRIPTION <br />HEATSOURCE <br />Elocvie Gas Other <br />p. 1 <br />CONTRAGT PWGE OF WVKn <br />Replace se�ver lines and water from main meter at side•.ralk to house. <br />NO. I 7YPE OF FIXTLRE OR ITEM <br />Tailot <br />Bethtut <br />Lavatary (vrdsh basin) <br />Showor <br />Kildiun sink 8 dispo^,al <br />Dishwasher <br />Clothos washor <br />Laundry Itay <br />Sink (servicoroar/mop/etc.) <br />B.-.ckFlow proventor <br />Urinal <br />Drinking Fount�in <br />Floor dr�in <br />Grease irap <br />Roof drains <br />omer SPLdPY e �•,arer lines <br />NO. I TYPE OF FIxTURE OR I7EM <br />A1C — air handlfng units <br />Forced air systnms <br />Gas piping <br />Wamr haator <br />Gas firoplaco <br />Gas mngo <br />Cloihes dryor <br />Rango hood <br />Exhaustfan <br />Heatpump <br />Unit hoa�er <br />�oilor <br />Rofigerafion <br />Woodsrnve <br />CT' OF EVERETT LOCAL SALES TAX CO�E IS 7106 <br />I horeby centify that I hovo road and oxamirred this applica0on and knowtlia samo to bo truo and cormct All provlsior� ot laws and <br />ordinacos poveminp this typo ofwork �.viil ho compliod with Hfiothor spodfiod herein or not Tho yranting of a permitdoes nat presume <br />to pivo aultwrity to vioiatc or cancol fin provis+on of any othor stato or local law rngulating wnstructian or tlle parto�mance ot <br />construc6on. That I am authorized by tho owner of tliis pmporty to porfortn tho work for wfiich appliption is mado and I wmply vnih iha <br />State Contractors Lew 18?7 CW and 296200 WAC. <br />�"� �,f �.1.' ii •, I �-� l C �-- <br />