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, <br /> �-�� P�RMIT APPLIrATIC .� <br /> V,'�r� CITY OF EVERETT PERMIT SERVICES <br /> F 3200 CEDAR STREET, EVERETT, WA 96201, 425-25T-8810 <br /> CK1493 i <br /> SITE AD9RESS PARCEL TAX I.D.# PERMIT# <br /> 1609 EDGLMOOR LN,EVERETT,IVA 98203 00740400000100 `M�t I U��� I <br /> / �( <br /> LDEGAL LOl NO. BLOCK ITRACT i <br /> OWNER ADDRESS PHONE <br /> LY,NHUAN 1609 L•DGEMOOR LN (425)347-1375 <br /> • EVERETT,WA 98203 I� <br /> TENANT NAML CONTACT NAME PHONE ' <br /> PAMHLA HILL 425 814-3124 x133 � <br /> CONTRACTOR ADDRESS CON7R.LICENSE* � <br /> PASTWAT[RHGATERCOMPANY 12601132NDAVGNE FASTWHC052DF � <br /> (425)814-3124 E�IRKLAND, WA 98034 02/16/2005 <br /> PROPOSED USE OF BUILDING swm�no Mahanla WORK AddiQon H T SOURCE � <br /> PERMIT Comhln�tion Plumbinp AlUratlon ENctrio <br /> r(pE D�molition Sipn TMPE N�w as <br /> R� drlMalnt her <br /> CONTRACT PRICE OF WORK S449.00 CITY OF EVERETT LOCAL SALES TAl(CODEIS 3105 ' <br /> WORK DESCRIPTION Removc/Rcplacc Gas\9atcr Ncatcr I. <br /> I <br /> UMBI MECHANICAL I <br /> NO. TYPE OF FIXTUR O ITEM O P OF IXTUR R ITEM f <br /> __ WATCR CLOSET ______ AIC-AIHANDLIN6 UNITS <br /> �„ BATHTUB _,__ FORCED AIR SYSTEMS � <br /> LAVATORY (WASH BASIN) HEAT PUMP <br /> �_ SHOWER UNIT HEATERS � <br /> KITCHEN SINK & OISPOSAL CLOTHES DRYER <br /> DISHWASHER � RANGE HOOD �' <br /> LAUNDRY TRAY � WATER HEATER � <br /> � CLOTHES WASHER _� METAL FIREPLACE/STOVE l <br /> __ URINAL _�_ FIREPLACE INSERT �� <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS FtANGE <br /> �_ BACKFLOW PREVENTER __ GAS PIPING <br /> � SINK (SERVICFJ@ARlMOP/ETC.) ___ EXHAUST FAN <br /> � OTHER ___ OTHER___�___�^_____ <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL -4 <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WIH'�WHETHER SPECIFIED HEREI�;i, <br /> OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHC '.ITY TO VIOLA7E OR CANCEL THE PROVISION OF ANY s' <br /> OTHER STATE OR LOCAL lAW REGULATING CONSTRUCTION OR TME PERFORMANCE OF CGNSTRUCTION.THATI AMAUTHORIZED � <br /> BY TME OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICHAPPLICATION IS MADE AND 1 COMPLY WITH TME STATE i <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. + <br /> � <br /> Signatura of OwnedContraetor/Authorized Agenl �� �-ly,��- Dab O8/31/2004 <br /> � <br /> ui n� <br />