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To Fermd OeF�rtment Page 6 07 t 1 <br />—_ . <br />2D14-09-10 OS 1 B 54 (GMT) <br />• <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />a25-257-8Ei 1 �- FAX 425-257-8857 - www.everetta.a.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />3509 WETfv10RE AVE <br />LEGAL LOT NO. BIOCN <br />DESC <br />WILLIAM LAM50N <br />TENANTNAME <br />CONTRACTOR �AlESCO <br />VV <br />CONTR. LICENSE A WASHIES971 OB <br />USE OF BUILD�NG <br />SFR <br />WORK DESCRIPTION <br />REPLACE GnS WATER 1 IEl1TER <br />NO. TVPE OF FI%TURE OR ITEM <br />l oilet <br />Dathtub <br />lavatory (wash basin) <br />Showc� <br />Kdchen snk h clisposal <br />Dishwasher <br />Clothcs washer <br />_ I.aundry Iray <br />Sink (srn��xlterimop/etc.) <br />13ackflow preventer <br />Unnal <br />_ DriNuny Pounlain <br />Floor drain <br />Greasetrap <br />Rool diains <br />-- Olhcr <br />PARCEL TAX I.D. # <br />00451400800400 <br />TRACT <br />3509 WETMORE AVE <br />CONTACT FOR PERMIT <br />Naida Khan <br />ADDRESS <br />3909 196th St SW <br />18884C003R3 From. Deborah Sh�elds <br />�l� l� `l�l <br />PERMIT M <br />L�r�Nv�-o�'1_ <br />Everett 9R201 425-344-8639 <br />PHONE <br />360-945-2787 <br />GTV/ZIP PHONE <br />Lynnwood 800-398-4663 <br />HEAT SO� �P.Cc CONTRACI pRICE OF WORK <br />I <br />_ Lleunc � Gas _ O�her $1255.94 <br />NO. I TYPE OF FIXTURE OR ITE1A <br />AIC – aR handlulg unils <br />Foracl aii sy5iern; <br />Gas P�ping <br />Water healer <br />Gas tireplacc <br />Cas ranyc <br />Ciolhes drycr <br />Rangr.hoad <br />Exhawlfan <br />f leat pump <br />Unit heater <br />Boiler <br />Re1n�i�ra�ion <br />VVoodstove <br />CITV OF EVERETT LOCAL SALES TAX CODE IS 7105 <br />I hereby cenlity ihal 1 have read and esammed Ihis apphcation and know the same lo be hue and conect �II proviswns of laws and <br />ordinaces yovern�ng Ihis type of work v+dl be comphr.d with whether specdied herein or not The granhng ot a permd does not presumr. <br />to grve authonly to violate or cancel the provi,ion ol any other slate or local law regulating con;lruction or Ihe pertormance of <br />construrp�n That I am authorized by �he owner of lhis property lo perlorm the woik lor which appLcahon e�, niade and I eompty with ihe <br />State ConlraGors I.aw 1(3 27 RCW and 29G 200 WAC. <br />�40'.Inl'�y t��n«� ly Ilnl l� �A�n <br />N_�ici�l ha a�„� N,,.�,,,,,.,., �,,���... �.,m,,,� a <br />M,.�.�.��.,.�v�.__,,,, �,� <br />Siynatorc ol OwnedConiractorlC.ut111N,Y@tl'V�t�1?rtt" """'"' Ua�2 <br />