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�. f PERMIT �\PPLIC;�TION <br /> ��i:� CITY OF EVER�TT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> o»z�s <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 8530 EVERGREEN WAY,EVERETT,WA 98203 28041300100800 �(73 p � —p I� <br /> .� <br /> LEGAL LOT NO. BLOCK �TRACT <br /> DE <br /> OWNER �%rcd M�� ADDRESS {�06 y1��-I PHONE <br /> REGIS/HAIRMASTGRS 7Z01 METRO BLVD p� 9�a,�a <br /> � MINNEAPOLIS,MN 55439-9614 (425)347-2077 <br /> TENANT NAME CONTACT NAME PHONE <br /> ANN6TTG SUPERVISOR PAMGLA HILL 425 814-3124 x133 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> PAST WATER HEATER COMPANY 12G01 132ND AVE NE PASTNHC052Df <br /> (425)814-3124 KIRKLAND,\VA 98034 02/IG/2003 <br /> PROPOSED USE OF BUILDING Bwldtnp Maehan�ca WORK Add�tion HEAT SOURCE <br /> PERMIT Com6lnation Plumbinp AllanUon Electrie <br /> r(pE Damoittlon Slyn T�'PE N�w as <br /> r Rs sirlMalnt ther <br /> CONTRACT PRICE OF WORK 5349.00 CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br /> WORK �ESCRIPTION Removc/Rcplace Elcctric WaterHcatcr <br /> UMBI MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> __ WATER CLOSET �__ AJC-AIHANDLING UNITS <br /> __ BATHl'UEf »_ FORCED AIR SYSTEMS <br /> _� LAVATORY (WASH BASIN) _ HEAT PUh9P <br /> � SHOWER _� UNIT HEATERS <br /> __ i:iTCHEN SINK $ DISPOSAL _ CLOTHES DRYER <br /> __ DISHWASHER RANGE HOOD <br /> _^ LAUNDRY TRAY � WATER HEATER <br /> � CLOTHES WASHER __ METAL FIREPLACEISTOVE <br /> _ URINAL _N_ FIREPLACE INSERT <br /> _ DRINKING FOUNTAIk _ GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> � SINK (SERVICE/BARIMOP/E7C.) EXHAUST FAN <br /> ! OTHER _ OTHER_� _ <br /> t HEREBY CERTIFY THAT I HAVE REAO AND EXAMINEO THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WIHT WHETHER SPECIFIED HEREI <br /> OR NOT.THE GRANTING OF A PERMII'DO�S NOT PRESUME TO GhE AUTHORITY TO VIOLP.TE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED <br /> BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MAOE AND I COMPLY WITH TME STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> Signalure of Owner/Contractor/Authorized Agnni ���,T ���/.� Date 01/07/2003 I <br /> oi.rsi <br />