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�1�ERMIT APPLICATION <br />CITY OF EVERETT PERMIT 3ERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — vnvw.everettwa.org <br />APPLICATIONS ARE ACCEpTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />3119 Mukilteo Blvd <br />L�GAL LOT NO. BLOCK <br />DESC. LOTtiGIV'Nv'Nl�TBOAF g� OD5 D-00 <br />Paul Sager <br />rEnnnT nnme <br />pARCEL TAX I.D. p <br />00571700500600 <br />TRACT <br />SHORE ACRES ADD <br />3119 Mukilteo Blvd <br />FOR <br />IKiyomi <br />CONTRAGTOR W�SCO ADDRESS <br />2800 7horndyke <br />CONTR.LICENSEi1 WASHIES.9T�OB <br />US[ Oh BUILDING <br />SFR <br />WORK DESCR�PTION <br />HEAT50URCE <br />✓ Electric � Gas _ o�her <br />Install new Enviro FP Insert Model # SIEG28FP <br />NO. � 7YpE OF FI%TURE OR ITEM <br />6athtub <br />Lavatory ;wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwashcr <br />Clothes washer <br />Laundry tray <br />Sink (servire/badmop/etc.) <br />8ack0oW pfeventer <br />Urinal <br />Drinking Fountain <br />Flcor drain <br />vroaso trap <br />Roof drains <br />Other <br />�.�� - p6 <br />PERMIT X <br />'"�UI,GF <br />F•�?rett 425-355-2199 <br />PHONE <br />206-378-6649 <br />CT'IZIP PI10NE <br />SEATTLE 206-378-6649 <br />CONTRAC7 PRICE OF WORK <br />3653.00 <br />NO. � 7YpE OF Flx'fURE OR REM <br />wv —air nandiing unils <br />,_ Forcedairsystems <br />Gas pipina <br />Waten c�atcr <br />� Gas fireplace <br />Gas range <br />_ Clolhes dryer <br />Range hood <br />Ezhaust tan <br />� Heat pum� <br />Unit heater <br />Boiler <br />Refrigeration <br />woodssove <br />� Other <br />CITY 01' �VERETT LOCAL SALES TA1C GODE IS 3705 <br />I herehy ceritify ihat I h2ve read and examined this applicalion ond know the same to be true and rnrreW. All provisions of lows and <br />ordinaces pnv2minr� thic type of work will be compiiad with whellicr �pecifiud horein or not. The granting ol a Vermil Jues not presume <br />to gi��e authodry to violale or cancet the provision of any other state or Iocat law regulating construdion or Ihe performance o( <br />construction. That I am authori by the owner of th;s property m peRorm fhe vrork tor which application is made end I comply with the <br />State Coi}t(actyry La�Yia2 Cw aniV,Jl�cY,�oo WnC. _ i . <br />