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,-� i ERPJIIT AI�PLICAT� 7N <br /> � CITY OF EVERETT PERMIT SERVICES <br /> .._ 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-f3810 <br /> CK'_019 <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 17�9 110Y'I'AVG EVGRGTI',WA 98201 00438034G01500 % ,� �� /p <br /> U <br /> LEGAL LOT NO. BLOC4C f'fRACT <br /> DE I <br />� OWNER ADDRESS PNOt�E <br /> P.IUSLADIN,.IAYM? ���ry ���Y� nv�� �425)339-5519 <br /> • IiVGRBTT, \VA 98?O1 <br /> TENANTNAME CONTACTNAME PHONE <br /> PAMGLA HILL q35 314-3124 x133 <br /> CONTRACTOR ADDRESS CO�JTR.LICENSE# <br /> P;\Sl'\1'A'I'I:R IiGATHR COMPANY 12601 I32NL AVB NG I:AS'I'WIiC052DP <br /> KIRKLAND,WA 95034 02/1G/2005 <br /> (q�c)814-312-0 <br /> PROPOSED USE OF BUILDING Buildinp • Meehanica WORK Addition HEAT SOURCE <br /> PERh71T Combinatlon PIum6ing Alteratlon nElectric <br /> TypG Demolilion Sig�i TYPE New as <br /> S rinki r Re airlMaint ther <br /> CONTRACT PRICE OF WORK gqq9,pp CIIY OF EVERC•TT LOCAL S.1LES TAX CODEIS 3105 <br /> WORK DESCRIPTION �temove/Replace Gas W'ater licater <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> ___ WATER CLOSET ______ A/C-A/HANDLING UNITS <br /> .___ BATHTUB �_____ FORCEO AIR SYSTEMS <br /> ____ LAVATORY (WASH BASIN) _____ HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK & DISPOSAL CLOTHES DRYER <br /> ___ DISHWASHER _ _ RANGE HOOD <br /> ___ LAUNDRYTRAY ___�__ WATERHEATER <br /> __ CL��THES WASHER ___ METAL FIREPLACE/STOVE <br /> � URIN,+L ______ FIREPLACE IN�ERT <br /> � DRINK�NG FOUNYAIN ___ GAS FIREPLA�E <br /> _ FLOOR DRAIN �� GAS RANGE <br /> ___ BACKFLOW PREVENTER ___ GAS PIPING <br /> ___ SINK (SER��ICE/BAR/MOPIETC.) ___ EXHAUST FAN <br /> ---- 07HER----- ----- OTHER---------------------- <br /> I HEREBY CERT�FY TNAT I HAVE READ AND E%AMINED THIS Af'LICATION AND KNO�/J THE SAME TO 0E TRUE AND CORRECT.AlL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPF OF WORK WILL BE COMP�IED WIHT WNETHER SPECIFIED HEREI <br /> OR N07.THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TNE PROVISION OF ANY <br /> OTHER STATE OR IOCAL lAW REGULATING CONSTRUCTION GR Tt{E PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED <br /> BY TME OWNER OF THIS PROPERTY TO PERFORM TNE WORK FOR WHICH APPLICATION IS MHCE�ND 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br /> Si naturo of OwnedCont�actorlAulhorized A eni ' , . �ate <br /> I y 9 � _ .� r � / 02/07/?OOS <br /> L�— . <br /> Ui aql <br />