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�� <br />P�r�Ml1' APPLI�ATIC,�J <br />CiTY OF EVERETT PERMIT SERVICES ���3 �o� <br />3200 CEDAR STREET, EVERETT, WA 98201 /� <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.urg /�� �� 3� <br />APPLICATIqNS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREnIT CARUS ARE NOT ACCEPTED <br />SITE ADDi2ESS <br />LEGAL � LOT N0. <br />PARCEL TA1C I.D. # <br />��- c�s�6i90 S� or� <br />BLOCK TRACT <br />� <br />Jill 8anson 3207. Laurel Dr E�eret.:, WA 98201 425-339-1184 <br />TENANT NAME I CONTACT FOR PERMIT PHONE <br />y E•Uerett Builders/ Dan Mann 925-353-7161 <br />CONTRACTOR <br />�' ceoN�i�ttuCENS��#rs, Inc <br />223-01 EV-ER-EB-301P <br />USE OF kiUILDING <br />SIR <br />ADDRESS <br />29818 43rd Ave NE <br />CITYIZIP PHONE <br />Arlir.gton, 98223 925-353-71G1 <br />F:EAT SOURC[ <br />_ Eleclric _� Gas _ Other <br />CONTRACT PRICE OF WORK <br />5131,389.00 <br />LOT�__1_r_�_:p.Nll--3-,__LESS_ mF-r wFcm aQ �-"F, AND LOTS 4�ND 5 <br />BLOCK 15, ROCItL;12 PARK ADDITION TO THE CITY OF rVERETT, ACCORDING <br />TO TFIE PI,AT THEREOF RECORDGD IN VOLUME 7 OF PLATS, PAGE 3, <br />RECORDS OI' SNOHOMISFi �OUNTY, WASHING'PON. <br />SITUATE IN THE COUNTY OF SNOHOMISH, STATE OF WASHINGTON. <br />NU. I ��rcvr�v......�......_... I I ..._... ��n�vn�v��i����� <br />Toilet <br />Bathtub <br />Lavaton,• (wash basin) <br />Shower <br />Kitchen sink 3 disposal <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sink (service/bar/mop/etc.) <br />Backllow preventer <br />Urin�,I <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other I"�(Y,E_ j,> �y� % <br />A/C — air handling unils <br />� Forced air systems <br />Gas piping � <br />Water heater <br />Gas fireplace- <br />Gas range <br />� Clathes dryer <br />Range hood <br />� Exhauslfan <br />Hcat pump <br />'Jnit healer <br />Boiler <br />Refrigeralion <br />Woodstove <br />— .r.uie� <br />CITY OF EVERETT LOCAL SALES 'AX COOE IS 3105 <br />I hereby ceritify th t I have read and ezamined this application and know th:. same to be We and correct. All provisions of laws and <br />ordinaces governin (his type of work will be complied with whether specif eJ herein or not. The granting of a �ermit does nol presume <br />to giv� authoriry to vio e or cancel the provision of any other state or local law r�nulating construction or lhe performance of <br />constmction. That I am �. onzed by the owner of this property tn perform the wak tor which application is made and I comply with the <br />S;ate Con��actors L 2 C �nd 296.2U0 WAC. <br />� . __ - '�� ,� ��- I��o.�" _ <br />' �r'..% J'''_�%�_c� <br />! i,' <br />