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(ron: <br />a <br />OB/'^i2009 13:30 �564 P.003l003 <br />���11/��� ��-9C'j��g�o/q�'�i�! 454139 <br />dP] ain,``���� 11i1 i f d✓����� <br />+J CITY OF �VEFd�TT' PEFtIViI� SERVICES Q <br />s� 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 �_��`O <br />425-257-8857 FAX <br />SITE ADDRESS . PARCEL TAX I.D.# PERMIT# <br />1305 SG EVERETT MALL \VAY, CVEIiL7'1', \1�A �953( 28051800404400 <br />LEGAL LOT NO. BI,OCK <br />DE C <br />OWNER ADDRESS <br />REU RODIN - GVCRBTT �3U5 SH GVBRG"1"I' MALL NAY <br />• GVF,RLTI', WA 96208 <br />TENANTNAME CONTACTNAME <br />Carol Randall <br />CONTRACTOR ADDRESS <br />I'AST WA'C8R M3A'1'ER COMPANY 12G01 132VU AVI:NG <br />425-636-7054 ����LANU, WA 98034 <br />PlyONE <br />PRO�OSED USE OF BUILDING eui�d�n9 machamca WORK <br />/��� (� PERMIT Comhinalion Plumbing <br />�Q.>MYY�-vr� lc�' T1'PE �umolition Sign TYPE <br />WORK DESCRIPTION <br />Remove/Replace Gus Water llcatcr <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOY�ER <br />KITCHEN SINpC & DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />EiNCKFLOW PREVENTER <br />SINK (SERVICFJBARIMOP/ETC.) <br />OTNER <br />� <br />� <br />Now <br />_('�� <br />\.. <br />PHONE <br />(425)355-7330 <br />PHONE <br />425-636-7054 <br />CONTR.LICENSE# <br />FASTNWH9d8BC <br />01/04/20I0 <br />souRCE <br />CODEIS 3105 <br />A!C-AIHANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT NEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER___________._ <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />I PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COIdPUED WIHT WHETHER SPECIFIED HERE <br />I�OR NOT, THE GRAP�TNG OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOI.A7[ OR CANCEL THE PROVISION OF ANY <br />OTHER STHTE OR LOCAL LAW REGULATING CONSTRUCTION CR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED <br />, 6Y THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MACE AND 1 COMPLY WITH TNE STATE <br />I CONTRACTORS LAW 19.27 RCW ANO 298.?00 WAC. <br />rQ of OwnodContrectorlAuthorized Agent ���o����/�,�a Dato OS/f0/2009 <br />ui oc� <br />