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frnm: 02/lU/2009 13:57 p217 P.002/003 <br /> PERMIT APPLICATION 431730 <br /> �� CITY OF EVERETT PERMIT SERVICES � <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425•257-8810 <br /> 425-7.G7-8B57 FAX ���p—Oq <br /> SITE ADDRESS PARCEL TAX I.D.# FERMITtt <br /> 61U2 CAUY RI), I�:VERE"fT, \5'A 93203 OOA4310000304 <br /> ���11 "ti ' ,� ! I � <br /> LEGAL LOTNO. BLOCK TRACT <br /> OWNER ADDRESS PHONE <br /> n�uscii, ninitt� � rnrrv r,ioz cnu�� tiu <br /> • L•1'Gkf:'ll�. NA 98203 (42tj3•t8•489R <br /> TENANT NAME CONTACT NAME PHONE <br /> � Carol Randall a25-636•7054 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> PAS'I�N'ATGR HGATGR C0�1PAN1' 12GOi 133ND AVG NI', pASTWN'H94RBC <br /> 425-636-7054 KIRIU.AND, N'A 98034 01/0420i� <br /> PROPOSED USE OF BUILDIN(3 Bulldinp M�eh�nle� Addlllon H T :'OURCE <br /> PERMIT Comblmtlon Plumbinp WORK �������o� Elc�;mc <br /> TYPE D�molllion 81pn TYPE Nsw aa <br /> R� aIIIMUot Iher <br /> CON7RACT PR�CE OF WORK 5qd9.00 CITY OF EVERETT LOCAL SALES TAl(CODEIS 3105 <br /> WORK DESCRIPTION <br /> Itcmo�rRcpincc (i�is�b'atc�Hcalcr <br /> PLU1dBING MECHANICAL <br /> TY OF IXTU ITE O. TY E OF %TU O ITE <br /> _____ WATER CLOSET _______ A/C-AIHANDLIN6 UNITS <br /> _______ BATHTUB _______ FORCEO AIR SYSTEMS <br /> ______ LAVATORY(WASH BASIN) ___ HEAT PUMP <br /> ___�__ SHOWER _ UNIT f1EATERS <br /> _______ KITCHlN SINK b OISPOSAL ___ CLOTHES DRYER <br /> ______ DISHWASHER __ _ FWNOE HOOD <br /> ______ IAUNDRY TRAY ____� WATER HEATER <br /> _____ CLOiNE3 WASHER _�__ METAL FIREPLACE/STOVE <br /> _____ URINAL FIREPLACE INSERT <br /> ___,___ DRINKING FOUNTAIN OAS FIREPLACE <br /> __.—___ FLOOR DRAIN , �� GAS RAN6E <br /> _____ BACKFLOW PREVENTER _� (TAS PIPINO <br /> ___�__ SINK (9ERVICE/BAR/MOPlETC.) ___ EXHAUST FAN <br /> _____ OTHER_, _ 07HER_______ <br /> I HERFAV CCR7IFV TIiAT I NAVF R[�D ANO EXAMINEO THIS AVUGATION A1J0 KNOW TNE SAME TO BE TRL1E AND CORRECT.AlL <br /> PROVISIONS OF LAWS A4D ORDINANCFfi GOVERNING THIS TVFE OP WORK Wlll BE COMPLIEO WIHT WMETHER SPEGFI[D HEREI <br /> OR NOT. THE GMNTING OF A PERMIT DOES NOT PRESUME i0 GIVE AUINORITV 70 VIOLATE OR CANCEL THE NROVISION OF ANY <br /> OTHER STATE OR�OCA�LAW REGUTATING CONSTRUCTION OR TME PERFORMANCE OF CUNSTRUCTION.7HAT1 AMAU7HORI2ED <br /> BY THE OWNE-R OF TNIS PROPERTY TO PERFORM TH6 WORK FOR WHICHAPPLICATION IS MAOE AN�I COMPLY WITH THE STATE <br /> CUNTR/1C1URS!AW 16.17 RCW AND 2B8.2G0 WAC. <br /> SignaWro of OwnedContreclor/Authorized Apant ����,� ���QP b�te <br /> � 02/10/2009 <br /> ui�ni <br />