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;-�- � : MIT APPLICAT�. )N <br /> CITY' OF EVERETT PERMIT SERVICES <br /> ,._ 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> CK2637 <br /> SITE ADDRESS PARCEL TAX I.D.�t PERMIT <br /> 791�J PORHS'f GLADG EVERE7"I', WA 98203 00603700015600 �1,1 �'7'� �� <br /> V� C./ <br /> LEGAL LOT NO. BLOCK ITRACT <br /> DE <br /> OWNER ADDRESS PHONE <br /> GARD, YUKARI �9�4 �'ORF.ST GLADE �q?5)923-6326 <br /> • 6VBRfTI', WA 98203 <br /> TENANT NAME CONTACT NAME PHONE <br /> PAMGLA HILL d25 814-313d x133 <br /> CONTRACTOR ADDRESS CONTR.LICENSEN <br /> PAST\VA'I'LR HGATI:R COMPANY 12G01 132ND AVE NE fAS'lWHC052DF <br /> (425)814-312d KIRKLAND, WA 98034 02/I6/2007 <br /> PROPOSED USE OF BUILDING eui�dina Maehanicsl WQRK AddiNon HEAT SOURCE <br /> PERMIT Com6lnalicn Plumbinp Alleratlon Elactrie <br /> TypE Damolition Sign TYPE Ne�„� Gas <br /> r r Rs elrlMalnt Other <br /> CONTRACT PRICE OF WORK �349.00 CITY OF EVERETT LOCAL SAIES TN(CODEIS 3105 <br /> WORK DESCRIPTION �temove/Replace 8lecvic Water lieater <br /> UMBI MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR I7EM <br /> ______ WATER CLOSET ______ A/C•A/HANOLING UNITS <br /> ____ BATHTUB ______ FORCED AIR SYSTEMS <br /> ____ LAVATORY�YVASH BASIN) __�_ HEAT PUMP <br /> ___ SHOWER ____ UNIT HEATERS <br /> ___ KITCHEN SINK $ OISPOSAL _,__ CLOTHES DRYER <br /> ___ DISHWASHER __ _ RANGE HOGD <br /> ____ LAUNORY TRAY __�__ WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> _ URINAL ___ FIREPLACE INSERT <br /> __ DRINKING FOUNTAIN _�_ GAS FIREPLACE <br /> __ FLOOR DRAIN ____ GAS RANGE <br /> ____ BACKFLOW PREVENTER __ GAS PIPING <br /> _`_ SINK (SERVICE/BARIMOP/ETC.) ___ EXHAUST FAN <br /> ---- OTHER— -- --- ---- OTHER---------------------- <br /> t HEREBY CERTIFY THAT I HAVE READ AND EXAMINED 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 SPECIFIEO MEREI <br /> OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLF,�E OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.THAT 1 AM AUTHORIZED <br /> Bv THE OWNER CF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MAOE AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 29620D WAC. <br /> Signature of OwnedContraetorlAuthorized Agem � ' ;��'�_ � Uate 08/09/2005 <br /> uipni <br />