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Il nn: 09/3n/p009 09:34 ".!21 r.UO2/002 <br /> PERMIT APPLICATION °58�6° <br /> �� CITY OF EVERETT PERMIT SERVICES <br /> ��"r �200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> 425-257•8857 FAX - 3O <br /> SITE ADORESS PARC6L TAX I.D.# PERMITt! <br /> 221� BAKIiR AVIi.LVGRti7T, WA 98201 00553101800700 �1 /�}� ��(J j� <br /> � L �, <br /> LEGAL L07 NO. BLOCK TRACT <br /> OWNER AODRESS PHONE <br /> ro�in rn�N.ceowc;�n i_M rok cis <br /> (425)252-1140 <br /> TENANT WAME CONTACT NAME PHONE <br /> MOVEU 1�ROM 12-IPM UNCONFIRML'D Carol Randall 425-636-7054 <br /> CONTRAr,TOR AODRESS GONTRLICENSEq <br /> PAti'I'\VA'CI[R 61:?A7'IiR ('OMI'ANY 12G01 132NU AV8 NG PASTW WH948RC <br /> 425-E36-7054 KIRKLANI�, 1VA 9R03A 01l04l2010 <br /> PROPOSED USE OF BUILDING B°��d�^o M•�n•���� �d���i� H 7 eouRCE <br /> PBRMIT Comhln�llon Plumbinp WORK NlanOon I�alrlo <br /> Residenlial 7ypE D�mollllon Slpn YP! N� �� <br /> her <br /> CONTRACT PRICE OF N'ORK 5349.00 � CITY Of E4ERETT LOCAL SALES TAX CODEIS ]105 <br /> WORK OESCRIPTION <br /> Remove/Itepluce Gkctric N'uter Heater <br /> PLUMBING MECHAN�CA� <br /> OF U O TE P OF R ITE <br /> —,__ WATER CLOSET A/C-A/HANDLIN6 UNITS <br /> ____ BATHTUB ^ FORCEDAIRSYSTEMS � <br /> ____ LAVATORY ryVA3M BASIN) � HEAT PUMP <br /> _____ 6HOWER UNIT NEATBRS <br /> --�_ KI7CHEN SINK 6 DISP03AL CLOTHES ORYER <br /> __�_ D�SHWA9HER � RANCE HOOD <br /> ______ LAl1NDRY TRAY _1 WATER HEATER <br /> _�__ CLOTHE9 WASHER METAL FIREPLACE/STOYE <br /> _�_.__ URINAL FIREPLACE INSERT <br /> ____ ORINKIN6 FOUNTAIN Uqg fIREPLACE <br /> ______ FLOOR DRAIN GAS RAN6B <br /> _____ BACKFLOW PREVENTER � pqg p�p�NQ <br /> ____ SINK (SERVICE/BA4/MOP/ETC.) _� EXHAUST FAN <br /> ----- DTHBR _�_ OTHER-�--- ---� <br /> —� . --- _----- — _------ <br /> 1 HERE'iV Cl:RTIFY THAT I NAVF.READ AND E)(.4MINE0 THIS APLICATION AND KNOW T'HG SAME TO BE TRUE AND CORRECT.ALL <br /> PROVI:ICNS OF LAN'S ANU OFlDINANCES GOVERNING TNI$TVPE OF WORK WILL BE COMPLIED WIHT WHETHER SPEGFIED MEREI <br /> OR NOl. THE G7ANTING OF A PERMIT DOES NUT PRESUME TOONE AUTHORITY TCl VIOLATE OR G�NC£L TIiE PROVISION OF ANV <br /> OiMER STATE JR LOCAL� �J REGULATING CON57RUCTION OR TME PERFORAiWCE OF CONSTRUCTION.THATI AM AUTHORIZEO <br /> dY TNE O'�1N�:R OF Tfi19 PRONERTY TO PEFtFORM TME WORK FOR WHICH APPLICATION IS MA�E AND I COMPLY WITH TME STATE <br /> CUNTRACTORS LAW iB17 R.^,W ANU 29�3.200 WAC. <br /> Slpneturo of JwnedC�ntr�ctor/Aulhori:od Apent ��d�y.�U�,�qP p��� <br /> l 09/302009 <br /> u�!zi <br />