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� �ERMIT APPLICA' � ION <br /> ��r� CITY OF EVERETT PERMIT SEaVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> 7382R1 <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 4A08 BAY�'�EW LN,EVGRLTT, WA 98203 00417000201G01 rn a� 7ro�5 <br /> LEGAL LOT NO. BLOCK TRACT <br /> OWNER ADDRESS PHONE <br /> PURVES,BRIAN 41�06 DAYVIEW LN <br /> � GVGRLTT, WA 98203 (425)347-4206 <br /> TENANT NAME CONTACT NAME PHONE <br /> PAMBLA HILL 425 R14-3124 x133 <br /> CONTRACTOR ADDRESS CONTR.LICENSE* <br /> 1'AST WATGR HGATER COMPANY 12601 132ND AVH NG PASTWHC052DP <br /> ;425)R14-3124 KIRKLAND,WA 9N034 02/IG/2003 <br /> PROPOSED USE OF BUILDING e�uaino M�eh�nl�a Addlllon H 7 souRCE <br /> PERMIT Combin�llon Plumbinp W�RK Nuratlon I�eMe <br /> TYPE D�molition Slyn T�PE N�w as <br /> R� UrlMalnt ber <br /> CONTRACT PRICE OF WORK 5449.00 CITY OF EVERETT LOCAL SALES TA)(CODEIS 3705 <br /> WORN DE5CRIPTION RCtlIOVC�RC�lIBI'C G85 WL�Cf HC��Cf <br /> PLUMBING MECHANICAL <br /> OF TU O ITEM OF LTUR R ITE <br /> ____ WATER CLOSET ______ AIC•A/HANDi i6 UNITS <br /> ____ BATH7U8 FORCED AIR S(STEMS <br /> ___..�_ LAVATORY(INASH BASIN) � HEAT PUMP <br /> Y_ SHOWER __ UNIT HEATERS <br /> _____ KITCHEN SINK 6 DISPOSAL _ CLOTHES DRYER <br /> ______ DISHWASHER __^ _ RANGE HOOD <br /> _____ LAUNDRY TRAY _� WATER HEATER <br /> ____ CLOTHES WASHER _ METAL FIREPLACE/STOVE <br /> _�_ URINAL _� FIREPLACE INSERT <br /> ___ ORINKING FOUNTAIN � pA9 FIREPLACE <br /> FLOOR ORAIN GAS RANfiE <br /> _�__ BACKFLOW PREVENTER __ (3A5 PIPINO <br /> ___ SINK (SERVICE/BAR/MOP/ETC.) ____ EXHAUST FAN <br /> __ OTHER_ _�_ OTHER_��_��______ <br /> 1 HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS ll'PE Of WORK WILL BE COMPLIED WIHT WMETHER SPECIFIED HEREI <br /> OR NOT.THE GMNTING OF A PERMIT DOES NOT PRESUME TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.TNAT I AM AUTHORIZED <br /> BY TI1E OWNER OF THIS PROPER7Y TO PERFORM THE WORK FOR WMICH APPLICATON IS MADE AND 1 COMPLY WITH TME STATE <br /> CONTRACTORS LAW 18.47 RCW AND 298.200 WAC. <br /> Sipnalure ot OwnedContnetor/Authorized Agani �� -�r ���.j- Dat� <br /> 07/29/2002 <br /> UI.Vl1 <br />