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P�' �RMIT APPLICATI(.N i <br /> ��r� CITY OF EVERETT PERMIT SERVICES I <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 :� <br /> CKI511 ; <br /> SITEADDRESS PARCELTAXI.D.# PERMIT# � <br /> 8918 EMERSON PL,EVERETT,WA 98208 00482500002200 Moyo4-ora. ( <br /> LEGAL LOT NO. BLOCK TRACT <br /> DE <br /> OWNER ADDRESS PHONE <br /> PANGILINftN,PAUL 891R HMGRSON PL _ <br /> • EVHRETT,IVA 98208 (4Z5)353-5792 <br /> TENANTNAME CONTACTNAME PHONE <br /> PAMGLA IIILL 425 814-3124 x133 <br /> CONTRACTOR ADDRESS CONTR.LICENSE#1 <br /> rAST�VATER HGATHR COMPANY 12601 132ND AVE NB pASTWHC052DF <br /> �, <br /> (425)814-3124 KIRKLAND,\VA 98034 02/IG/2005 <br /> PROPOSED USE OF BUILDING euimtnp M�ch�nlca WORK Additlon H T SOURCE <br /> PERMIT Combination Plumbinp Alt�ratlon El�etric � <br /> TYpE D�molilion Slpn TYPE N�w as �-,{ <br /> r R� �irlMalnl ther � <br /> CONTRACT PRICE OF WORK 5349.00 CITY OF EVERHTT LOCAL SALES TAX CODEIS 3105 �I <br /> WORK DESCRIPTION Rcmovc/Rcplacc Elcctric Natcr Hcatcr ;� <br /> .� <br /> PLUMBING MECHANICAL 4 <br /> NO. TYPE OF FIXTUR O ITEM P OF FIXTUR R ITEM <br /> __ WATER CLOSET _�___ AIC•AIHANDLIN6 UNITS <br /> ___ BATHTUB _�_ FORCED AIR SYSTEMS <br /> _______ WVATORY(WASH BASIN) _�_ HEAT PUMP <br /> Y SHOWER ___ UNIT HEATERS <br /> _____ KITCHEN SINK 3 DISPOSAL _�_ CLOTHES DRYER ' <br /> __ DISHWASHER _ RANGE HOOD <br /> ___ LAUNDRY TRAY �__ WATER HEATER <br /> _�_ CLOTHES WASHER _ METAL FIREPLACEfSTOVE <br /> ___ URINAL _ FIREPLACE INSERT <br /> ___ DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> _____ BACKFLOW PREVENTER GAS PIPING <br /> �_ SINK (SERVICEIBAR/MOP/ETC.) __ EXHAUST FAN <br /> _�_ OTHER — --- OTHER----------�-------„-- ' <br /> — — – --- — � ------�-�y <br /> — – �_ I <br /> I F!�REBY CERTIFY THAT I NAVE READ AND EXAMINED THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND OROINANCES GOVERNING THIS NPE OF WORK WILL BE COMPLIED WIHT WHETHER SPECIFIED HEREI <br /> OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.THATI AMAUTHORIZED <br /> BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW ANO 296.200 WAC. <br /> Signature of Owner/Contraetor/Authorized Agenl �� �l�� Dats 09/07/2004 <br /> ui_.ni k <br /> _ . — . . . _ .. .. � <br />