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Fron: 03/OB/2010 11 : 18 N063 P.003l003 <br /> � <br /> � PERMIT ARPLIGATION 482397 <br /> �1i�� CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-6810 <br /> 425-257-8857 FAX <br /> SITE AD�RESS PARCEL TAX I.D.# PERMIT# <br /> 8920 EMERSON PL,EVCRL'TT,WA 98208 00482500002300 n <br /> v� -C�U <br /> LEGA� LOT NO. BIOCK TRACT <br /> OWNER AODRESS PHONE <br /> COVEK,SAM 8920 EMERSON PI, (425)355-4012 <br /> • EVERL•TT,NA 98208 <br /> TENANTNAME CONTACTNAME PHONE <br /> PLGX AITGR t2! Carol Randall 425-636-705A <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> �ASTWA'CBRIIEAI'ERCOMPANY 12G01132NDAVL'NE FASTN\V11948f3C <br /> 425•636-7054 KmKLAND, WA 98034 01104/2012 <br /> PROP05ED USE OF BUILDING ewmtnp M�eh�ni�Ca WORK Addilion H AT SOURCE <br /> PERMIT Combin�tlon Plumbin IVlenOon El�ctdc <br /> Residential TypE D�mollllon Slpn TYP� Naw as <br /> R� �IrlMaint Iher <br /> CONTRACT PRICE OF WORK S349.00 CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br /> WORK DESCRIPTION Rcmove/Rcplace 8lectric WnterHeatcr <br /> PLUM�INCa MECH4NICAL <br /> N�. OF I TURE OR ITEM NO E OF IXTUR R ITEM <br /> __ WATER CLOSET _w__ A/C-A/HANDLING UNITS <br /> _ BATHTUB ___ FORCED AIR SYSTEMS <br /> �__ LAVATORY (WASH BASIN) HEAT PUMP <br /> SHOWER _! UNIT HEATERS <br /> ___ KITCFIEN SINK 6 DISPOSAL _ CLOTHES DRYER <br /> __ DISHWASHER _ RANGE HOOD <br /> __� IAUNDRY TRAY �1_ WATER HFIITER <br /> _ CLOTHES WASHER _y METAL FIREPIACE/STOVE <br /> URINAL ___ FIREPLACE INSERT <br /> ___ DRINKING FOUNTAIN ___ GAS F�REPLACE <br /> FLOOR DRAIN GAS RANGE <br /> _,__ BACKFLOW PREVENTER �_ GAS PIPIN6 <br /> � SINK (SERVICElBAR/MOP/E'fC.) �� EXHAUST FAN <br /> _�_ OTHER �__ OTHER^__`_____� <br /> I HEREBY CERTIFYTHAT 1 HAVE READ AND EXAMINED THIS APLICATION AND KNOW THE SAA1E TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS ANtl ORDINANCES GOVERNING THIS TYFE OF WORK WILL BE COh7PLIE�WIHT WHETHER SPECIFIED HEREI <br /> OR NOT.THE GfL1NT1NG OF A PERMIT�OES 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.THqTI AM AUTHORIZED <br /> FY Ti1E OWNER OF THIS PROPERTY TO PERFORM THE WORK FqR WHICH APPLICATION IS MAOE AND 1 COMPLY WITH THE STqTE <br /> CONTRACTORS LAW 18.27 RCW AND 298.200 WAC, . <br /> Sipnaturo of OwnedContractorlAuthorized Agant ��_yyy���,.�dp Date 03/08/2010 <br /> --- • J <br /> ui.v+i <br />