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from: 70/O6/�006 10:51 q071 P.002/002 <br /> �-- PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVIf;ES <br /> ._ 3200 CEDAF2 STREET, EVERETT, WA 98201, 425-257-8810 <br /> iooen<> <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> �ez� i3n�:sK nvr:, rvrxerT, wn vazoi oon3�s6onoivoo �ti� (,. � � - � / <br /> LEGAL LOT NO. BLOCK TRACT <br /> OWN�R ADDRE38 PHONE <br /> � �M'P�^' 2626 UAKFR AVG <br /> PRUVO,LEONARU (4251591-8519 <br /> • LVGRETT, N'A 9820. <br /> TENANTNAME CONTACTNAME PHONE <br /> YAMf;I.A HII.I. 425 S I4•3124 xI33 <br /> CONTRACTOR ADDRESS CONTR.LICENSEtI <br /> 1'AST N'A"fF:R HGATGR COMPANY 12601 !32ND AVE NE FASTW WH946RC <br /> �QNE <br /> (A25)R14•3124 KIRKLAND, WA 9803J 01/03/2008 <br /> PROPOSED USE OF BUILDING ewm�np Mechanl�C� WORK Add�t�on HEAT 30URCE <br /> PERMIT Combinellon Plumbin Alter�lion El�efrle <br /> TyPB D�mollllon Slpn TYPE New a� <br /> Re slrMlalnt thar <br /> CONTRACT PRICE OF WORK S349.OU CI7Y OF EVERETT LOCAL SALE9 TAX CODEIS 7105 <br /> WORK DESCRIPTION Ncinove/kepluce Blectric Wnter Heater <br /> PLUMBING MECHANICAL <br /> N . E OF FI TURE OR 1 c O VPE OF FI7(TU R ITEM <br /> ^_ WATER CLOSET __�__ AIC•A/FIANDLIN6 UNITS <br /> ___ BATHTU9 ___�_ FORCED AIR SYSTEMS <br /> ____ LAVATORY (WASH BASIN) __�_ HEAT PUMP <br /> __ SHUWER ___ UNIT HEATERS <br /> ___ KITCHEN SINK S DISPOSAL ______ CLOTHES DRYER <br /> ____ DISHWASHER _ _ RANGE HOOD <br /> ____ LAUNDRY TRAV ��__ WATER HEATER <br /> __ CLOTHES WASHER _� METAL FIREPLAl;El5TOVE <br /> ,_ URINAL ___ FIREPLACE INSERT <br /> __ DRINKING FUUNTAIN _ OAS FIREPUICE <br /> FLOO DRAIN GAS RANGE <br /> __ BACK�LOW PREVENTER __ OAS PIPING <br /> ___ SINK (SERVICEIBARIMOP/BTC.) ___ EXHAUST FAN <br /> ----- OTHER--- --- - OTHER-------------------- <br /> I HEREBV CER7IFY THAT I HAVF REAO AND EXAMINED THIS APLICATION AND KNOW TNE SAME TO BE TRUE AND CORRECT ALL <br /> PHUVISIONS OF LAWS AND OROINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WIHT WMETNER SPECIFIED M[REI <br /> OR NOT, 7HE GRANTING OF A PGRMIT DOES NUT PRESUME TO OIVE AUiHORITY TO VIOLATt OR CANCEL TNE PROVISION OF ANV <br /> OTMER SfATE OR LOCAL LAW REGUUTING CUNSTRUCTION OR TME PERFORMANCE OF CON3TRUCTI�N.TMAT I AMAUTMORIZEO <br /> BY THE OWNER O� THIS PROPEF2TY TO PERFORM THE WORK FOR WHiCH APPLICATION IS MADE A4D 1 COMPLY WITH TME STATE <br /> CONTRACTORS�AW 1B.Y7 RCW ANO 298.200 WAC. <br /> Slpnaturu of OwnodContractorfAulhorized Ageni ��=�- ���— ���� 10/0620G6 <br /> ui m� <br />