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,^��� P��MIT APPLICATIQ V <br /> ��j?� CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> CK 1907 <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 4015 PRIDAY AVG GVBRLTT, WA 98201 004G8000100700 /v� asa r -005 <br /> LEGAL LOT NO. BLOCK ITRACT <br /> DE <br /> OWNER ADDRESS PHONE <br /> A015 FRIDAY AVE q�s �59-OR86 <br /> GCLLER,JAN • EVERHTT, WA 98201 � � � <br /> TENANT NAME CONTACT NAME PHONE <br /> PAMGLA HILL 425 814-3124 x133 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> PAS7'WATLR IIEATGR COMPANY 12601 132ND AV6 NB pASI'WIiC052DP <br /> KIRKLAND, WA 98034 02/IG/2005 <br /> (425)8143124 <br /> PROPOSED USE OF BUILDING Bulldinp M�chanica WORK Additlon HEAT SOURCE <br /> PERMIT Combinalion PIum6lnp Alleratlon Elactric <br /> TypE D�molilion Sipn NPE New as <br /> r r Ra elrlMainl fher <br /> CONTRACT PRICE OF WORK $d49.00 CITY OF EVERETT LOCAL SALES Tl�(CODEIS 3105 <br /> WORK DESCRIPTION RemovdReplacc Gas Watcr licatcr <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET �_____ A1C•AIHANDLING UNITS <br /> BATHTUB ______ FORCED AIR SYSTEMS <br /> LAVATORY (WASH BASIN) _____ HEAT PUMP <br /> SHOYVER ___ UNIT HEATERS <br /> � KITCHEN SINK & DISPOSAL _,__ CLOTHES DRYER <br /> DISHWASHER � _ RANGE HOOD <br /> LAUNDRYTRAY __�__ WATERHEATER <br /> CLOTHES WASHER _� METAL FIREPLACEISTOVE <br /> URINAI ____ FIREPLACE INSERT <br /> T DRINKING FOUNTAIN ^__ GAS FIREPLACE <br /> � FLOOR DRAIN _�_ GAS RANGE <br /> BACKFLOW PREVENTER _, GAS PIPING <br /> SINK (SERVICE/BAR/MOPfETC,) ___ EXHAUST FAN <br /> ---- OTHER--------- ---- <br /> __ OTHER_ _—_ – ----- <br /> I 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 Bt COMPLIED WIHT WHETHER SPEC�FIED HEREI <br /> OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE 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 PROPERIY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH TFiE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. ' <br /> SignaWre of OwnedContractor/Authorized AgeN , , ,_��"� � Date 01lOS/2005 <br /> o�.ni <br />