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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREE7, EVERETT, WA �JS201 <br />425-257-8810 — FAX 425-257-9857 — www,everettwa.org <br />APPLICqTIONS ARE ACC�:pTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />341� W Nukilteo Blvd <br />IEGAL LOTNO. <br />Suzan <br />TEN4NTNAME <br />BIOCK <br />°°"rn"°TOR US REMODELERS <br />CONTR,UCENSEx USREMI'9696L <br />USE OF UUILDING <br />SFR <br />WORK DESCRIP710N <br />PARCEL TAX !.D. M <br />00571700601000 <br />TRACT <br />3413 W Mukilteo Bivd <br />�7 —/D <br />� <br />l� C T' %'l <br />Evgibll98203 425-514-8404 <br />ICONTACT FOR PERMIT pHONE <br />Naida Khan 360-945-2787 <br />AODRESS GTY21P PHONE <br />. d05 STATE HWY 721 BYPASg LEWISNI,�E 75067 3�0-945-2787 <br />MEATSOURGE <br />_ Electric , Gas _ Othar <br />REPLACE ONE PRESSURE BALANCE SHOWER VALVE <br />NO. I TYpE OF FI%TURE OR ITEM <br />ToIIBI <br />8athtub <br />Lavatory (wash 6asin) <br />6hcwer <br />, Kitchen sink & disposal <br />Dishwasher <br />Clothos waohor <br />Laundry tray <br />Sink (service/bor/mop/efc.) <br />Backflow preventer <br />Urinal <br />Onnking Fountain <br />Floor drain <br />Grease trap <br />Rootdr � s� / r��� <br />Other l 1,e <br />1�1.� V'�� <br />���7 <br />� CONTRACT PRICE OF WORK <br />$500.00 <br />NO. I TYpE OF FIXTURE OR ITEM <br />._ aC — air hantlimg unrts <br />_ Forced air systems <br />_ Gas piping <br />Waler heater <br />_ Gas fireplace <br />_ GAs range <br />`. Cloihes oryer <br />^ Range hoaf <br />_ Exhaust fan <br />I leat pump <br />` Unit heater <br />_ Boiier <br />Refrigcr�lion <br />� Woodstove <br />� Other�_ <br />��TY OF EVERET7 LOCAL SqLES TAIC CD�E IS J10S <br />I hereby centify that I have rcad and examined thls application antl know the same to be true and correct. All provisions oi lav5 and <br />ordinaCes governin4 Ihis type ef wnrk will or complied w;th whether opeGfied hercin ar noL The y�enpny of a pertnll tloe9 not presume <br />to give authonty to violate or cancei the provision of any other state or local law regulating construaion or lhe per(ormance of <br />construdion. That I�m aulho ,etl by the owner of this propeny to per(orm the work for which applicalion is made and I comply with tha <br />State Conlraq s L w t��n/ and 296.200 WAC i � <br />