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,-- t PERMIT APPLIC� rION <br />(���� CITY OF EVERETT PERMIT SERVICES <br />F 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />018297 <br />SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br />512G S 2 AV, GVHRtiTT, WA 98203 00500301500400 m 03�j-p�Z <br />LEGAL LOT NO. BLOCK TRACT <br />D <br />OWNER AODRESS PHONE <br />EVERETT GOSPGL MISSION PO 130a 423 <br />• EVGRETT, WA 98203 (425)252-1297 <br />TENANT NAME CONTACT NAME PHONE <br />PAMBLA li1LL 425 814-3124 x133 <br />CONTRACiOR ADDRESS CONTR.LICENSE� <br />PAST �VATGR HEA7ER COMPANY 12G01 132ND AVG N8 fASTWFIC052DP <br />�qZ5�s�43�z4 KIRKLAND,V✓A 98034 p2/1G/2005 <br />PROPOSED USE OF BUILDING eu��dinp M�eh�nita pddition H AT SOURCE <br />PERMIT Combin�tion PlumDlnp WORK Nt�ntlon El�elrle <br />TYPE D�molilion Slpn TYPE N�w as <br />r R� tlrlMalnt her <br />CONTRACT PRICE OF WORK 5qq9,00 CITY OF EVERETT LOCAL SALES TA7( CODEIS 3105 <br />WORK DESCRIPTION Rcmovc/Rcplacc Gas Wutcr Hcatcr <br />PLUMBING ��HANICAL <br />NO. TYP OF FI TURE O 17EM N. TYP OF FIXTUR R ITEM <br />WATER CLOSET ______ AIC-A/HANDLING UNITS <br />BATHTUB _�__ FORCED AIR SYSTEMS <br />__ LAVATORY (YYASH BASIN) _�_ HEAT PUMP <br />SHOWER ___ UNIT HEATERS <br />^ KITCHEN SINK 8 QISPOSAL ______ CLOTNES DRYER <br />DISF!WASHER � _ RANGE HOOD <br />LAUNDRY TRAY __�__ WATER HEATER <br />CLOTHES WASHER __ METAL FIREPLACEISTOVE <br />� URINAL ____ FIREPLACE INSERT <br />� DRINKING FOUNTAIN ___ OAS FIREPLACE <br />� FLOOR DRAIN ___ GAS RANGE <br />' BACKFLOW PREVENTER __ GAS PIPING <br />___ SINK (SERVICE/BAR/MOPIETC.) ___ EXHAUST FAN <br />____ OTHER_ _�_ OTHER___�__________�_� <br />1 HEREBY CERTIFY THAT I HAVE READ AND EW�MINED THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORHECT, ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WIHT WFiET'r1ER SPECIFIED HEREI <br />OR N07. THE GRANTING OF A PERtAIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED <br />BY THE OWNER OF THIS PROPERTY TO PERFORM THE NlORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH LHE STATE <br />CONTRA�TORS LA1Y 1827 RCW AND 296.200 WAC. <br />SlpnaWre of OwnedCootractorlAuthorized Agani J���� ��- Oate OS/27/200? <br />