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1=ron: 11/�"�2006 08:41 q816 P.003/003 <br /> PERMIT APPLICATION <br /> ClTY OF EVERETT PERMIT SERVICES � �, �_� <br /> �_, 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 - �6_ � <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 89D2 CORBIN DR,EVF.RLTT, WA 98204 00541400001100 �,�,"�`\ —G1') <br /> IEGAL LOT NO. BL.00K TRACT <br /> E <br /> OWNER ADDRESS ' PHONE <br /> R902 CORBiN DR (425)348-O8z9 <br /> IILACKFORD,IUDY S LiNDA , �V��.j..T. WA 98204 <br /> TENANTNAME CONTACTNAME PHONE <br /> PAMGLA HILL A25 814-3124�133 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> PP.ST WATER HEATER COMPANY 12601 132ND AVL•NE FASTNNH94RBC <br /> KIItKLAND,\VA 98034 01/03/3008 <br /> (A25)814-3124 <br /> PROPO5ED USE OF BUILDING eu��e�np h��ehm�ca WORK '�d�t�on H AT SOURCE <br /> PERMIT Combinall-.n Plumbinp Allera8on Electrie <br /> 'rypE D�molil�an Slgn T�'PE Naw �• <br /> k� � R� aGlMalnl ther <br /> CONTRACT PRICE OF WORK S3A9.00 CITY OF EVERETT LOCAL SALES TAX CODEIS 3t05 <br /> WORK DESCRIPTION 2emove/Replace Glectric\Vater IIenter <br /> �.UMBING MECHANICAL <br /> N , TYP OF IXTU ITEM NO TYPE OF FIXTUR R ITEM <br /> WATER CLOSET _____ AfC-A/HANULINO UNITS <br /> � BATHTUB ___ FORCEO AIR SYSTEMS <br /> LAVATORY (WASH BASIN) ___ HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> + KITCHEN SINK & DISPOSAL _ CLOTHES DRYER <br /> � DISHWASHER _ RANGE HOOD <br /> IAUNDRY TRAY _1 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 __ 6A5 PIPING <br /> � SINK (SERVICEIBAR/MOP/ETC.) _ EXHAUST fAN <br /> � OTHER^ _ OTHER___`_______�_._— <br /> t HEREBY CERTIFYTHAT I HAVE READ AND EXAMINEO THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIUNS OF LAWS AN�OROINANCES C,OVERNING THIS TYPE OF WORK WILL BE COMPLIED WIHT WHETHER SPECIFIED HEREI <br /> OR NOT.THE GFiANTiNG OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL lAW REGULATING COASTRUCTION OR TME PERFORMANCE OP CONSTRUCTION.7HAT I AM AUTHORIZED <br /> BY THE OWNER OF THIS PROPERTY TO PF.RFORM THE WORK FOR WHICH APPLICATION IS MAOE J�ND I COMPLY WITH THE STATE <br /> CONTRACTOfiS LAW 1827 RCW AND 296.200 WAC. <br /> Slgnaturo of OwnodContrecmr/Aulhorized Agani ��_�jei/'�;�> Date ���082006 <br /> ni.o� <br /> �---�- –_ . — . ' . . ... _. <br />