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� �ERMIT APPLICA :'�.ON <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 9820� <br />425-2�7-8810 - FAX 425-257-8857 <br />SITE ADDRESS PARCEL TAX I.D. # <br />2402 56th St SW Everett, WA 00813500008200 <br />�P JRMIT k <br />�� ia - �-�>.� <br />LOT N0. BLOCK TRACT <br />82 000-D-00 Powder Mill Highlancls Div. No.2 (Stratton Hill) <br />Yuan-Po Tu <br />TENAN7NAME <br />CONTRACTOR <br />PHONE �� <br />Huuncaa ur rnVrvt �. <br />2402 56th St Stl Everett :Ja 93203 425-349-2041 A. <br />ICONTACT NAME <br />AODRESS <br />PHONE <br />LP CONTR. LICENSE M <br />�- ��v`t��e.t"p•e� �%wt�Ca\1 %ow,��er� 1'��' 1�, 1— I% —o� <br />�s c�,.�ca��c <br />PROPOSED USE OF B�IL�ING <br />� �Nt�A� <br />SFiZ <br />CONTRACT PRICE OF WORK <br />Build�ng <br />PERMIT � Combination <br />TYPE Demolitian <br />SFrinkler <br />j� Mechanical <br />BPlumbing <br />Sign <br />Addition <br />WORK Alteration <br />7YPE New <br />RepaidMaint. <br />HEATSOURCE <br />Electr�c <br />Gas <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTION <br />First Floor Addition of Recreation Room, Bathroom and Laundry. Second Floor addition of <br />a dormer to maintain egress codes. <br />NO. � TVPE OF FIXTURE OR ITEM <br />1 WATER CLOSET <br />BATHTUB <br />�_ LAVATORY (WASH BASIN) <br />�_ SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />� LAUNDRY TRAY <br />� CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DNAIN <br />BACKFLOW PREVENTER <br />_ SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />NO. I TYFE OF FIXTURE OR ITEM <br />A/C-A/HANDLING UNITS <br />FOFiCED AIR SYSTEMS �.y�,p µ;,�, �; �,. .���_ <br />HEATPUMP <br />UNIT FIEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER �C�,S°hS�3 <br />I HEREBY CERITIFY ?HAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORiiECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING TI115 TYPE OF WORK WILL 9E COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGi 4ATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERIl ` PERFORM THE WORK FOR WHICH APPLICATIOIJ IS MADE AND I COMPLY WITH THE STATE <br />CCNTRACTORS LAW 1827 R(.N AND 296200 WAC. <br />�Z— <br />Co a�a-c:� <br />z <br />