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SITE AD�RESS <br />36t3 oakEs Av�. <br />LEGAII LOT NO. <br />DESC.r '7�Qj <br />__- ---- - � - — -- <br />PERMIT APPLICATION <br />CITY OF E� �RETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 96201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. N <br />ooY 38 � 88 i ��� <br />OIOCK I TRACT OR SUBDIVISION A <br />881 D �o�o <br />�z--ag- <br />2MIT N <br />/.'� � _ �7 D <br />CITYIZIP PMO�E <br />AND'REw HECT�N_____ 3613 �KET AVE EvF�2Ei'i�98�,,i _ 4?5-?.63 •:'�K3 _ <br />TENANT NAME I CONTACT fOR PERMIT PHONE <br />IJ Ia E•MAIL <br />�O�F7TR7C�Tb'fF�— �b-6kE$�-- �7TPIZiF'--�FTbAE-- <br />CONTR. LICENSE n <br />USE OF BUILDING <br />l.E FAnn��Y KES� D6Nc� � <br />HEAT SOURCE <br />__ Electnc X Gas _ Olhei <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPTION <br />fL._wA�tz ��vER uNE <br />1tE.�7A1R /REPIJ+�E ARnkEN WATER PIPE IN 1311:TtlVLaoM WAIL <br />REP�AcE �2% WA"�� NEATEY_S IN MA1N NoNIE Pr DE'TAcNED �q�p�E <br />N0. <br />TYPE OF ��IXTURE OR ITEM <br />TO�lel <br />�athlub <br />Lavatory (wash basin) <br />Showei <br />Ki�chen sink 8 disposal <br />Dishwasher <br />Ciothes washei <br />W�lei heate� <br />Sink (serv�cePoadmoplelc.) <br />�FlckOow preventei <br />Uiinat <br />Driniung Fountain <br />Floor drain <br />Grease trap <br />Roof drams <br />Other <br />NO. I TYPE OF FIXTURE OR ITEM <br />NC - air handliny unds <br />Forcecl air syslems <br />Gas piping <br />Water heater <br />Ges fireploce <br />Gas rangr. <br />Cblhes dryer <br />Range hood <br />[Khausl lan <br />lieal pump <br />Unil healer <br />Boi�er <br />Refngeretion <br />Woocis�ove <br />CITY OF EVERETT LOCAL SALES TAX CO�E IS 1105 <br />1 hereby certdy Ihat I have read and exammed this appficalwn and know Ihu same to be Irue and correcl. All provisions of luws and <br />ordinances goveminq ihls typc of work �.vill br. complieA vnlh whelhcr spru(ed herein or not The granting ol a permlt does nol presume <br />to give authonty to violate or cancel the provision of arry oUur state or !ocal law regWating conslruction or �he perto«nance af <br />wnstrur.tion That 1 am authoiized by Ihe o�mer ohhis prope�ty lo perlorm the work f�� which apphcation is madz and I comply with �he <br />State ContraclWF Law iD 7.7 RCW and 296 200 W�C <br />/2�2y/zcti� 9 <br />