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from: 1t," q/z010 78:01 k051 P.002/004 <br />i <br />,; �� PERIVIIT APPLICATION <br />��i�CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />425-257-8857 FAX <br />���z� <br />3�H�YS 2 AVt:, �,VERL'"I"T, WA 98203 <br />OWNER <br />rvrar:rr cosr��_ Miss�oN <br />CONTfL',CTOR <br />rns•r wn r>>R �irn•ri:a con���nN�� <br />PHONE 425-63G-7054 <br />PROPOSED USE OF BUILDI <br />Residenlial <br />TAX 1. <br />RDDRE5S <br />siissznvr; <br />� GVERi:f`l', WA 98203 <br />CONTACT NAMIE <br />Carol Randali <br />ADDRESS <br />12G01 132ND AVB NE <br />KIRKI,�NU, WA 98034 <br />Combinitlon �plumbinp IW�RI <br />D�molllion Slan TYPE <br />GON7RAGT PRICE OF WORK <br />WORK DESCRIPTION <br />Rcmovc/Repincc Gas Water Flcater <br />l.Ui�11�-�At�klesS un��-�- <br />____ BATHTUB <br />____ LAVATORY (WASH BASIN) <br />___ SHOWER <br />___ KITCHEN SINK d DISPOSAL <br />_� DISHWASHER <br />____ LAUNDRY TRAY <br />,_ CLOTHES WASHER <br />__ URINAL <br />_ DRINKING POUNTAIN <br />_ FLOOR ORAIN <br />___ 9ACKFLOW PREVENTER <br />,�_ SINK (SERVICEIBAR/MOP/ETC.) <br />� OTHER <br />c�rY <br />PHONE <br />515308 <br />i 9 /d <br />(425)252-1297 <br />PHONE <br />425-636-7054 <br />CONTR.LICENSEik <br />PAS7'W1VH94AI3C <br />01/04/2012 <br />Aller�Non <br />Naw <br />SALES <br />____ A/GA/HANDLING UNITS � <br />_____ FORCED AIR SYSTEMS <br />___�_ HEAT PUMP <br />___ UNIT HEATERS <br />___ CLOTHES DRVER <br />__ _ RANGEHOOD <br />__ �__ WATER HEATER <br />_�_ METAL FIREPLACE/STOVE <br />—___ FIREPLACE INSERT <br />_ GAS FIREPLACE <br />_ GAS RANGE <br />__ 6AS PIPING <br />___ EXHAUST FAN <br />�r_ OTHER___�________ <br />I HEREBY CERTIFY Tf1qT I NAVE READ AND EXAMINED THIS APLICATION AND KNOW TliE SAME TO �E TRUE AND CORRECT. All <br />PROVISION.�'i OF LAWS AND Of2DINANCES GOVGRNIN(i TM11S TVPE Of WORK WILL BE COMPLIED WIHT \YHETHER SPECIFIED HERE <br />OR NOT, THE GRANTING OF !� pERMIT DOES NOT PftESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTNER STATE OR LOCAL IJ�W REGULATING CONSTRUCTION OR TME PERFORMANCE OF CONSTRUC7IDN. THAT I AM AUTHORIZED <br />BY iNE OWN[R OF Tt115 PROf'ERTY TO PERFORh1 THE WORK FbR WHICH AppLICATION IS MA�E AND 1 COMPLY WITH TNE STATE <br />CONTRACTORS LAW 1 B.Z7 RCW AND 296,200 WAC. _ /„ _ <br />of OwnorlContractor/Authorizod Agunt <br />D�te II/]82010 <br />ui.m <br />