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from: 04/2F�?007 08:30 q164 P.002/004 <br /> PERMIT APPLICATION 365695 <br /> ��i� CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> 4?.5-257-8857 FAX y�a.5—Q <br /> SITE ADDRE3S PARCEL TAX I.D.# PERMIT# <br /> SR32CADVRD, C•V�RT:TT,WA 9N20? 00443 1 00003 901 �_. 1i � �\_ �J _ �J;�I ✓ <br /> I <br /> LEGAL LOT NO. BLOCK TRACT <br /> QE� <br /> OWNER ADDRESS PHONE <br /> URYSON,JUNG 710 9 AVIi S (425)771-3867 <br /> • It1;DA10NDS,WA 98020 <br /> TENANTNAME CONTACTNAME . PHONE <br /> JOFIN& KARI.N SCt10ALL5 Pamela Hill 8D0-054-8955 x 133 <br /> CONTRACTOR ADDRESS CONTR.IICENSE# <br /> PAST WATI:R IIEATBR COMPANY 12G01 132ND AVf N� FASTN'WH94AOC <br /> KIftRLAND. WA 96034 01/03/200R <br /> (•IZS)R14-3124 <br /> PROPOSED USE OF BUILDING ew�e�np M�ohanle� WORK Add�uon NEAT SOURCE <br /> P@RMIT Comblmllon Plumhlnp Ntenllon I�etAe <br /> TyPF D�molilbn Slpn TrPE N�w �� <br /> R� �IqMdnl b <br /> CONTRACi FRICE OF 1NORN 5349.00 CI7Y OF EVERETT LOCAL SALES TAX CODEIS 3105 <br /> WORN DE9CRIPTION �iemuvc/Repincc Llretric Water Ilcator <br /> eJ.UMBINU �rweuicei <br /> N . OF I U O I E OF FI TU I E <br /> �_ WATER CLOSET ______ AIC-A/HANDLINO UNITS <br /> ___ BATHTUB �_____ FORCED AIR SYSTEMS <br /> ____ LAVATORY (WASH BASiN) _____ HEAT PUMP <br /> ^_ SHOWER ____ UNIT HEATERS <br /> _______ KITCMEN SINK 6 DISPOSAL ______ CLOTHES DRVER <br /> DISHWASHER _ _ RANGE HOOD <br /> ___ IAUNORYTRAY ___�__ WATERHFJ►TER <br /> __ CL07HES WASHER _!_ METAL FIREPLACE/STOVE <br /> ____ URINAL _�__ FIREPLACE INSERT <br /> _ ORINKING FOUNTAIN ___ OA9 FIREPIACE <br /> ` FLOOR DRAIN _ GA9 RANGE <br /> BACKFLOW PREVENTER _^ GAS PIPIN6 <br /> ___ SINK (SERVICE/BAR/MOPIETC.) T____._ El(HAUST FAN <br /> ---- OTHER--- -- ---- 07HER��--------------- <br /> I HERFHY CERTIFY THAT I HAVE READ AND EXAMINED THIS APUCATION AND KNOW THE SAME TO BE TRUE AND CORNECT.ALL <br /> PHOVISIONS OF IAWS AND ORDINANCES GOVERNING TH13 TYPE OF WORK WILL BE COMPlIEO WIHT WMETHER SPECIFIED MEREI <br /> OR NOT.THE ORANTING OF A PERMIT DOES NOT PRESUME TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTMER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.THAT I AM AUTMORIZED <br /> BV THE OWNER OF 71�1S PROf'ERTY�f0 PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLV WITH iNE STATE <br /> CONTRACTORS LAW 78.27 HCW AND 298.200 WAC. <br /> Slpnaturo of OwnadContnctoNAuthorl:ed Apeni �-��._�G��_�..— Oste OanS/2007 <br /> ui mi <br />