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From: 01/11/20U8 14:42 #117 P.004/U�6 <br /> � <br /> a' � <br /> PERIVIIT �4PPLICATIQN 389399 <br /> �1� ClTY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-25T-8810 <br /> q25-257-8657 FAX ��-f !/�-D <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 8630 fiVER(}REEN WAY>EVERGTT,W.� 98208 '' 2804130D100900 �0/�� <br /> LEGAL LOT NO. BLOCK TRACT <br /> D <br /> OWNER ADDRESS PHONE <br /> PO DOX 70115 l206)406-176] <br /> FAIJ1'ASTIC SAMS . SEATTLE,\VA 98127 <br /> TENANTNAME C�NTACTNAME PHONE <br /> ISLA GIRLS LLC/CATHY DARRACOTT Carol Randall 800�54-E955 x 133 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> PASTWATERHEATERCOMPANY 12601132NDAVENE FASTWWH948BC <br /> KIRKLAND,WA 98034 O1/04/20L0 <br /> 800�154-8955 <br /> PROPOSED USE OF BUILDING euiminp M�:haniea WORK Add�uon H T SOURCE <br /> PERMIT Combinatlon Plumbinp Nterotlon IacWc <br /> TYPE D�mollUon Sipn TYPE New as <br /> r n r Re alrMlalnl ther <br /> CONTRACT PRICE OF WORK $449.00 CI7Y OF EVERE'I'T LOCAL SALES TAX CODEIS 3105 <br /> WORK DESCRIPTIQN Remove/lteplace Gas Water Henter <br /> PLUMBING MECHANICAL <br /> N . P OF TU OR ITEM PE OF IXTUR O ITE <br /> WATER CLOSET _.^___ AIC-NHANDLIN6 UNITS <br /> BATHTU6 ,_____ fORCED AIR SYSTEMS <br /> �_ LAVATORY(WASH BASIN) ��_ HEAT PUMP <br /> SHOWER _^_ UNIT HEATERS <br /> �_ KITCHEN SINK & UISPOSAL ___ CLOTHES DRYER <br /> DISHWASHER RANGE HOOp <br /> LAUNORY TRAY 1__ WATER HEATER <br /> __ CLOTHES WASHER METAL FIREPLACEISTOVE <br /> 11RINAL _ FIREPLACE INSERT <br /> � DRINKING FOUNTAIN OAS FIREPLACE <br /> FLOOR �RAIN GAS RANGE <br /> _ BACKFLOW PREVENTER __ GAS PIPING <br /> � SINK (SERVICEIBARIMOPIETC.) EXHAUST FAN <br /> _ DTHER _ OTHER_�� __ <br /> 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAM{NEO THIS APLICATION AN�KNOW THE SAME TO BE TRUE AND CORRECT,ALL <br /> PROVISIONS OF LAWS AND OROINANCES GOVERNING THIS TYPE Of WORK WILL BE COMPLIEO WIHT WHETHER SPECIFIED HEREI <br /> OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEI TF1E PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGUIhTING CONSTRUC710N ORTHE PERFORMANCE OF CONSTRUCTION.THAT IAMAUTHORIZED <br /> 8Y THE OWNER OF THIS PROPERTY TO PER°ORM THE WORK FOR WHICHAPPLICATION 13 MADE nN0 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 286.200 WAC. � <br /> Signature of OwnorlContractorlAuthorized Agent �,���G��„�Bp Dete O]/11/2008 <br /> es� cn� <br />