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r�,,,,: �oinsizoos ia:as aiss P.00siaoa <br /> � <br /> PERMIT APPLICATION 45�003 <br /> ��i� CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 88201, 425-257-8810 ,..p <br /> 425-257-8857FAX /fl �7�-V/ <br /> SITE ADDRESS PARCEL TAX I.D.1� PERMIT� <br /> G931 CARSON RD,GVLRGTT,WA 96203 00393300010200 /1�L . ./� <br /> .� <br /> LEGAL LOT NO. BLOCK TRAC7 <br /> OWNER ADDRE33 PHONE <br /> OMBAR,PI3GGY 6931 CARSON RD �20G)779-3551 <br /> • IiVERETT,WA 9R203 <br /> TENANTNAME CONTACTNAME PHONE <br /> ICAI.L W/30 30 MiN LTI Carol Randall q25-838-7054 <br /> CONTRACTOR ADDRESS CONTR.IICENSEA� <br /> PAS7'WATERHL'A'PHRCOMPANY 12G01132NDAVI:N1: FASTWWH948DC <br /> 425•638-7054 ����U�W� 9803A 01/04/2010 <br /> PROP03ED USE OF BUILDINO eu��d�ap M�eh�n�e� Add?Ilon T BOURCE <br /> PERMI? CombinNlon PIum6lnp W�� All�ntlon NaWa <br /> Residentiel T'ypE D�moliuon Slyn TYPE N�w �a <br /> M �IrlMdnl ar <br /> CON7RACT PRICE OF WORK 5349.00 CITY OF EVERETT LOCAL SALES TAX CODEIS �1D5 <br /> WORK DEBCRIPTION Remove/Rcplace Clectric Welcr Heeier <br /> PLUM8ING MECHANICAL <br /> O O I E O UR E <br /> __ WATER CLOSET _____ A/C•A/NANOLIN6 UNITS <br /> __ BATHTU6 ______ FORCED AIR SYS7EM8 <br /> ___ LAVATORY(WASH BASIN) _�_ HEAT PUMP <br /> SHOWER UNIT NEATERS <br /> ___ KITCHCN SINK d DISPOSAL _ CLOTHES DRYER <br /> DISHWASNER _ _ RANGE HOOD <br /> LAUNORY TRAY � _ WATER NRJITER <br /> _ CLOTHES WASHER _�_ METAL FIREPLACFJSTOVE <br /> � URINAL _ FIREPLACE INSERT <br /> _ DR�NKIN6 FOUNTAIN _ OA8 FIREPLACE <br /> FLOOR DRAIN GAS RANOE <br /> _`_ BACKFLOW PREVENTER l3AS PIPINO <br /> _ SINK (BERVICFJBAR/MOPfETC.) EXHAUST FAN <br /> ___ OTHER _ OTHER_ _��_^ <br /> I HEREBV CERTIFY THAT I HAVF.READ AND EXAMINED THIS APLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT.ALL <br /> PROVISIONS OF LAWS ANO ORDINANCE3 GOVERNINO THI3 TVPE OF WORK WILL BE COMPLIED WIHT WHETHEf3 6PECIFIEO MEREI <br /> OR NOT.iNE 6RANTNG OF A PERMIT DOcB NOT PRESUME TO ONE AUTHOf31TY TO VIOLATE OR CANCEL T1iE PROVIS�ON OF ANY <br /> OTMER STATE OR LOCAL UW REOULATINO CONSTRUCTION OR TME PERFORMANCE OF CONSTRUCTION.TMAT 1 AM AUTMORRED <br /> 8Y THE OWNER OF TNIS PROPERTY TO PERFORM TME WORK FOR WHICH APPIICATON IS MA�E AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 288.200 WAC. <br /> Slpneture ot OwnaNContractorlAulhorl:�d ABent �,���y�,7�f�,�Qp D�t� �0/OS/2009 <br /> `�_— . / <br /> m.«ii <br />