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i , <br /> , � P�RMIT APPLICATiON .� ��t��-` � <br /> I CITY OF EVERETT PERMIT SERVICES '�� ('��'� �� <br /> � 3200 CEDAR STREFT, EVERETf, WA 98201 j� � I <br /> i 425-257-8810— FAX �26-257-8557 —www.everettwa.org I I <br /> ,2 ..�,-oy <br /> APPLICATION� ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CP.EDIT CARDS ARE NOT ACCEPTED <br /> I SITE ADDRESS P.4RCEL TAX I.U.= PERMIT t I <br /> 1519 Grand Avenue <br /> Everett, WA 0055'+' � '4-005-00 � �(.� ' .�- <br /> LEGAL LOT N0. BLOCI" TRACT <br /> DESC. 5 5 6 I 324 Replat of block 324, Remingtons first ad21[ion to Everet <br /> OWNER ADDRESS CITY2IP PHONE Cell pflJne <br /> Russell E ldilson 9203 Baring Iday Everett> WA (206) 730-5531 <br /> TENANT NAME I CONTACT FOR PtRAiIT PHONE <br /> cell phone <br /> Russell Wilson (206) 730-5531 <br /> CONTRACTOR AO�RESS CITY2IP PNONE <br /> Owner/Contractor <br /> CONTR.UCENSE� <br /> USE OF BUILDING HEAT SOURCE - CONTRACT PRICE OF WORK <br /> Residence �jl ' f f11h iL7 I --lectric �Gas__OtY,er X/ 1 N� <br /> / Y�5 �.� <br /> WORK DESC IPTION <br /> Addition and alterations ta residence <br /> ���j 3 =,1— /�I�DIiiON `C `Zv�t� F L��U(� <br /> PLUMBING MECHANICAL <br /> NO. I TYPE OF FIXTURE OR ITEM NO. I IYPE OF FIXTURE OR ITEM <br /> _� Toilet Fv'C—air handling units <br /> 1 pathtub 1 Forced air svslems <br /> � Lavatory(wash basin) � Gas piping <br /> �_ Shower �_ Water heater <br /> 1 Kitchen sink 8 disposal Gas fireplace <br /> 1 Uishwasher �_ Gas range <br /> �_ Clothes w�sher 1 Clothes dryer <br /> Laundry tray 1 Range hood <br /> I _ Sink(service/badmop/etc.) 2 E�chaust tan <br /> � Backtlow preventer Heat pump <br /> Unnal Unit heatcr <br /> Drinking Fountain Boiler <br /> . Fioor drain Refrigeration <br /> � Grease lrap Woodstove <br /> � =IRoof drains Other <br /> Other = <br /> CITY OF EVERETT LOCAL SALES SAX CODE IS 7105 <br /> � � hereby itify that I a� read and examined this application and know the same to he true and correct All provisions of laws and <br /> ordina �S governi th s pe of work wiil be complied with whether specified herein or not. The granting of a permit does not presume <br /> to 9iv �uthonty �i e r cancel the provision of any other sfate or local law regulaung constructlon or the perfornance of <br /> const ion.Th t a t� onzed by the olmer of ihis property to periorm the wo ;for wnich application is made and I ramply with the <br /> State c;or L w � � CW and 290.200 WAC. I <br /> , �� J � <br /> S�gnature ot OwnenComractonAuthonzed Agent Date �/� <br /> ( I <br /> I <br />