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Pr��m: <br />07/'�/20U7 09:10 tt627 P.002/002 <br />P�RMIT APPLI�CATIOiV r7z9�8 <br />1;�� CITY OF EVERETT PERMIT SERVICES <br />F,,_ 3200 CEDAR STREET, EVEF2ETT, WA 88201, 425-257-8810 <br />425-257-od57 FAX <br />SITE ADDRESS F'ARCEL TAX I.D.# PERMIT# <br />7929I3LVGRLY DLVD, EVGRI:77, WA 98203 00393900400107 <br />LEGAL LOT NO. BLOCK <br />DE <br />OWNER ADDRESS <br />NfORALL'S, JOEI. I 141A 3M1 DR SF. <br />� EVBRETT, WA 9R208 <br />TENANT NAME CONTACT NAME . <br />MAIL PE[tMl7' TO DILLING Pamela Hill <br />FAST �/ATER HEATER <br />PHONE (a25)614-3124 <br />PROPOSED USE OF BU <br />INORK DESCRIPTION <br />PERM <br />TYPE <br />$aa9.ao <br />12601 1'l2ND AVC NE <br />KIIZKLAAJD, \VA 98034 <br />___ WATER CLOSET <br />_�_ BATHTUB <br />___ LAVATORY (WASH BASIN) <br />_� SHOWER <br />____ KI7CH£N SINK & DISPDSnL <br />OISHWASHER <br />_ � LAUNORY TFL>Y <br />�_ CLOTHES WASHER <br />__ URINAL <br />_ DRINKING FOUNTAIN <br />FLOOR DRAIN <br />�_ BACKFLOW PREVENTER <br />^ SINK (SERVICE/BAR/MOPIETC.) <br />___ OTHER_ <br />Ilcnter <br />Plumbinp WVK� <br />sipn TMPE <br />�� <br />1 1� , 7- �r C. <br />PHONE <br />(425)B7G-3353 <br />PHONE <br />800-454-8955 x 133 <br />CONTR.LICENSE# <br />FASTIti'WH948�C <br />O1/032008 <br />Nlentlon <br />New <br />SOURCE <br />s�as <br />FORCED AIR SYSTEMS <br />HEA7 PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACEISTOVE <br />FIREPLACE INSERT <br />OA9 FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAU37 FAN <br />OTHER-- -____-------- <br />HEREBY CERTIFY TIIAT I HAVE READ ANp EXAMINED THIS APLICATION AND KNOW THE Sl1ME TO 8E TRt1E AND CORRECT, ALL <br />'ROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WIHT WNETHER SPECIFIED HERE <br />IR YOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TFIE PROVISION OF ANY <br />ITHER STATE OR LOCAL IAW REGULATING CONSTRUCTION OR THB PERFORM/WCE OF CONSTRUCTION. TNAT IAM AUTHORIZED <br />�Y THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MACE AND 1 COMPLYY�ITH THE STATE <br />:ONTRACTORS LAW iB.27 RCW ANO 298.200 WAC. <br />Signatura of OwnodContractor/Authorizod Apunt �„���� �..t�,.n- <br />Oate 07/16/2007 <br />u� vn <br />