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� , �. <br /> �tRMIT APPLICATIVN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> SITE ADDRESS PARCEL TAX I.D.k PERMIT t1 <br /> 2114 48th St SE 00 5004 OOl 021 O1 �>'�,�-dJ� <br /> LEG.�L LOT NO. BLOCK TRACT <br /> DESC. 1 4 City of Fberett SP Lt1202-8-98 <br /> OWNER I ADDRESS PHONE <br /> Carolyn Viktora 2114 48th St SE Fwerett, FIa 98204 425-252-3973 <br /> TENANTNAME I CONTACT NAME PHONE <br /> Pat Mann 425-353-7161 <br /> CONTRACTOR ADDRESS CONTR. LICENSEB <br /> Eberett Builders, Inc. I24728 47th Ave NE EVh'REB*301PH <br /> PHONE 425-353-7161 IArlington, Wa 98223 I <br /> PROPOSED USE OF BUILDING Building � Mechanical Addition HEAT SOURCE <br /> Residential PERMIT �Combination Plumbing WORK �niteratlon �Electric <br /> TYPE Demolition Sign TYPE New Gas <br /> Sprinkler RepalrlMaint. Other <br /> CONTRAf'T PRICE OF WORK 41,3�B.00 7 �Z�p CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> WORK DESCRIPTION Remodel ` � � <br /> �qu,�i� .�"�L � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM N0. TYPE OF FlXTURE Op ITEM <br /> WATER CLOSET _ A/C-A/HANDLING UNITS <br /> BATHTUB /T!/8 S�+4W67C _ FORCED AIR SYSTEMS <br /> D LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> � KITCHEN SINK 8 DISPQSAL CLOTHES DRYER <br /> 'i DISHWASHER _ RANGE HOOD <br /> o LAUNDRY TRAY _ WATER HEATER <br /> � CLOTHES WASHER __ METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE 1NSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK (SERVICE/BAR/MOP/ETC.) � EXHAUST FAN <br /> OTHER OTHER <br /> I HEREBY CERITIFY HAT 1 HAVE READ'AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAW AND OfiIDINACES�GOVEiiNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHEfHER SPECIFIED HEREIN OR <br /> NOT, .THE G ANTING •F A PERMIT DOE$NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE O OC� LAW GUTATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNE OF THIS ROPE TO PERFORM THE WORK FOR WHICH APPLICATION IS MA�E AND I COMPLY WITH THE STATE <br /> CONT A TOFS W 1827 W AND 296.200 WAC. <br /> � <br /> , \ .... - I �GJ '—C/� <br /> Sig e o Owner/ oMractodAuthorized Agent Date �/ <br /> � <br />