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From: 02/21/�007 08:04 p037 P.002/003 <br /> PERMIT APPLICATION �59776 <br /> CITY OF EVERETT PERMIT SERVICES <br /> ._ 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 4703 GLGNIIAVEN DR,EVERETT,'eA 98203 290A3G00301100 m�f L'z'(��, <br /> �.t� <br /> LEGAL LOT NO. BLOCK TRACT <br /> OWNER ADDRESS PHONE <br /> 4703 GLENHAVLN AR <br /> AGHAGHAFAR,HP.DI • EVERE7'T, WA 98203 (4z5)339-2574 <br /> TENANT NAME CONTACT NAME PHONE <br /> Pamelnilill S00 454-89SSx133 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> fAST WATGR I{EATER COMPANY 12601 132ND AVE NG FAS'1'NR'H94RI3C <br /> KIRKLAND,WA 93034 01/03l2008 <br /> (425)S 14-3124 <br /> PROPOSED USE OF BUILDING Bulld(np M�chanlca WORK Addition HE T SOURCE <br /> PERMIT Comhlnalfon Plumhlne AlteraUon El�ctric <br /> TypE Demolillon Sipn T`�PE New ac <br /> S r R� airlhlalnt ther <br /> CONTRACT PRICE OF WORK $449.00 CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br /> WORK DESCRIPTIDN Restove/Replace Gas Water lieatcr <br /> PLUMBING ME�►{ANICAI <br /> OF I R 1 EM O. PE OF FIXTURE OR ITEM <br /> WATER CLOSET �___ A1C•AIHANDLING UNITS <br /> BATHTUB _____ FORCED AIR SYSTEMS <br /> _ IAVATORY (WASH BASIN) ____ HEAT PUMP <br /> SHOWER ___ UNIT HEATERS <br /> ' KITCHEN SINK 3 DISPOSAL ______ CLOTHES ORYER <br /> �ISHINASHER __ _ RANGE HOOD <br /> � LAUNORY TRAY �_�__ WATER HEATER <br /> ^ CLOTHES WASHEfI __ METAL FIREPLACEISTOVE <br /> URINAL ___ FIREPLACE INSERT <br /> DRINKING FOUNTAIN _ GAS FIREPLACE <br /> FLOOR DRA1N GAS RANGE <br /> BACKFLOW PR�VE�TER __ GAS PIPIN6 <br /> SINK (SERVICE/BAR/iNOP/ETC.) ___ EXHAUST FAN <br /> ---- OTHER----------------- <br /> OTHER - <br /> I HEREBY CERTIFYTH.4T I HAVE READ AND I:XAM�NED TMIS APLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES G�VERNING THIS TYPE OF WORK WILL BE COMPLIED WIHT WHETHER SPECIFIED HEREI <br /> OR NOT.THE ORANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTNORITY TO VIOL�TE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING(:ONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.TFiAT I AM AUTNORIZED <br /> BY THE OWNER OF THIS PROPERTY TO PERF ORM THE WORK FOR WHICH APPLICATION IS MADE ANO I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> Signaturo of OwnedContractorlAutharized f\geni �-�G�_�,r��.-> Dat• 02/21/2007 <br /> u�am <br />