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P�RMIT f�PPLICATI( V <br />�i,���� CITY OF EVERETT PERMIT SERVICES <br />`C 3200 CEDAR STREET, EVERETT, WA 98201, 425-�57-8810 <br />CK 1745 <br />SITE ADDRE55 <br />2220 MAIN ST, EVERETT,IVA 98203 <br />G,"JNER <br />F.�Y, CATHY & RODERT <br />CONTRACTOR <br />PAST WATBR HEATLR COMPANY <br />4RCEL iAX I.D.# <br />00500302301000 <br />ADDRESS <br />2220 MAIN ST <br />• EVBRETT, WA 98203 <br />�CWNTACT NAME <br />P,11�4ELA HILL <br />ADDRESS <br />126D1 132ND AVEN[' <br />KIfdKLAND, WA 98034 <br />(425)814-3124 <br />PROPOSED USE OF BUILDING euildinp M <br />PERMIT Combinatlon P <br />TypE D�molltion 8 <br />r <br />CONTRACT PRICE OF WORK $449.00 � <br />WORK DESCRIPTION Remove/Repiace Gas Water Neater <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUN�RY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICEIBARIMOPlETC.) <br />OTHER._ -- <br />OF <br />� <br />� <br />j11041f-�35 <br />�PHONE <br />(425)?52-0'�14 <br />PHONE <br />425 814-3124 x133 <br />COMTR.LICENSE# <br />rns� wHcosz�F <br />02/; F 2C05 <br />Idilion HEAT SOURCE <br />tao8on Eleetdc <br />iw �� <br />i aidMalnl her <br />L SALES TAX CODEIS 3105 <br />F�RCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACEISTOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTH ER---------------- <br />HEREBY CERTIFY THAT I HAVE READ AND EJ(AMINED THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br />'ROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WIHT WHETHER SPECIFIED HERE <br />)R NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />)THER STATE OR IOCAL LAW REGULATING CONSTRUCTION pR THE PERFORMANCE OF CONuTRUCTION. THAT t AMAUTHORIZED <br />iY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />]ONTRACTORS LAW 18.27 RCW AND 296.20� WAC. <br />ofOwnedContractorlAuthorizedA eN -: ��_��'�.,/ Date ������Z004 <br />g �_, . <br />u� oni <br />