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SITE A�DRESS <br />3225 �UREL ,' R <br />LEGA LOTNU. <br />DESC. <br />f'FRMIT A?PLICATI4N <br />CITY'OF EVERETT' PERMIT SERVI�ES <br />5200 CE DAR STREET, EVER�TT, WA 98201 <br />425-257-8810 — FA)C 425-257-8857 — tiww✓.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX L]. M <br />00561900800f07 <br />ULOCK � 1R4CT <br />ASHLEY 8 WENDI THOMAS <br />TENANTNAME <br />CONTRACTOR , ^, ES CO <br />d� <br />CONTR IIGENSE A wASH I ESg7 � OL7 <br />USE OF BUIL�ING <br />SFR <br />WORK DESCRIPTION <br />3225 LAUREI. DR <br />ICONTACTPaRPERMIT <br />Naida Khan <br />AODRE53 <br />280� Tharndyke <br />HEATSOURCE <br />�Elc.ctric �GaS __lllhnr <br />R[PLACE £i0K [3TU GAS FURNACE WITH 4' GAS PIPING <br />u0. I TYPE OF FI%TUI2E OR ITEM <br />Toilet <br />� Bathtub <br />� Lavatory (wash tasin� <br />Shomr <br />� Kitchen sink 8 disposal <br />V UISfIw�ShCf <br />��� Clotheswasher <br />Laundry t�ay <br />�ink (aefviGe/bar/mop�c�C. ) <br />� Barkf�ow preventer <br />^ Urinal <br />O�inking Fountam <br />Floardrain <br />� Grease trap <br />Rnof drains <br />� Other <br />G-/G-�9 <br />Everett 98201 425-257-948y <br />PHGNE <br />360-945-27�i7 <br />CITY2IP PHONE <br />S�ATTLE iiOU-398-4463 <br />CONTRACT PRICE OF WORK <br />5502, 00 <br />�0. ' 7YPE OF FIXT��RE OR ITEM <br />AIC — air handling units <br />± Forced air systems <br />i Ods pipiny <br />W�ter teairr <br />Gas f replace <br />Coa rongc <br />Clothes Gryer <br />Range nood <br />FrhauN fnn <br />� Heat pump <br />Unit heate� <br />6o1er <br />Refrigeration <br />Woodsto��e <br />Olher _ <br />CITY OF EVERE7T LOCAI SAL[S TA7( CODE IS 9105 <br />I hereby centify that I hove road and c+xamin¢d this appiication and knnw the sam0 lo bC tNe and Correct. AI' proo:sion9 ot laws and <br />oNinacrs goveming this typr� oiwork ��II be complied �lh whelher spedfied herein or not. The granting of .i perm4 does not presume <br />to pivr authority to viohta or cancel the provision of 3ny other state or I•xal law rc,-yulating conslrudion or ihe pe�ermance of <br />oonctrucfioa 7nat I am �uthonzea by the oumur nl lhis nrnpetly to perTer� :he work for Which apDIIC31ion is made and I comply with the <br />State Conlractors La 1827 n*J 290.200 WAG. ���� <br />� c �y<,�-.. <br />ignature or ownenContract thor¢ed Agent te <br />