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PERMIT APPLICA ION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810—FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAX I.D.M PERMIT N <br /> .3130 oAKS AvE onv3yo�39ol�0o D 310- 006 <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. �,� �39D -vo Flick�/? ,LAND co, / SrEOi %%ON <br /> OWNER ADDRESS ZIP PXONE <br /> W' iNoN/a % GARY W�iGhT RFQLTY 93.Z3 STiFTE, i4vER l'IARY�viLCF 4 $2�10 <br /> TENANT NAME CONTACT FOR PERMIT PXONE <br /> C�A)/T�N �•�.�r'A vc'R I Ti M TA N ) S KZS' 3{/ 6� ( �?SU <br /> CONTRACTOR ADDRFSS ZIP CONTR.LICENSE N <br /> TuRN-Kfy RF/�k)R c4MA��NTfNqNc� ��ouFvE2GRE6v WaY <br /> PFiONE L/1 $�-,�J /�-/— S/ 8I <br /> PROPOSED USE OF BUILDING I pERM1T � Sp nkileation U Plumbing I WORK �-{ Repair/Meint. HEAT SE�cR�CE <br /> �j' /� /Z /} G C TYPE Demolition U Sign TYPE �_� New Gas <br /> LJ Other <br /> CONTRACT PRICE OF WORK CITY OF EVERETf LOCAL SALES TAX CODE IS 7103 <br /> WORK DESCRIPiION <br /> UEMoL �TioN o � G�t1� � Gc <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE QR ITEM <br /> WATER CLOSET(TOILET) A/C-A/HANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> SIIOWER UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> S�NK(SERVICEIBAR/MOPIETC.) EXHAUST FAN <br /> OTHER OTHER <br /> I HEREBY CERITIFY THAT I HAVE READ AND EXAMINEO THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORHECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GR4NTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY 70 PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTO W 1827 RCW AND 96.200 WAC. - <br /> /�;��w/ � .Y� � � // ZS O� <br /> S' n re of OwnedContr�yTor�Authonzed Agent Oate <br /> ✓� `� <br /> DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />