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Fron <br />�3/27 "007 10:11 tt252 P.002/003 <br />,--- PERMtiT APPLICATION <br />(',Mi�� ClTY aF EVf�RETT PERMIT SERVICES <br />F 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />SITE ADDRESS <br />3307lIOYTAVH,EVERE"IT,WA 9S%�I <br />OWNER <br />iv�ft�.AIL. SHA\VN <br />TENANT <br />CONTRACTOR <br />PAS'P NATBR liC-AT6R COMPANY <br />PHONE (`�25)814-3124 <br />Pi20POSED USE �7F BUI <br />PARCEL TAX I.D.# <br />ooaii1aosoo3oo <br />ADDRESS <br />3807 I�IOY1' AVH <br />• 8V1:RETT. WA 98201 <br />CONTACTNAME <br />Pamelu Ilill <br />ADDRESS <br />12G01 1i2ND AVE NF. <br />KIRKLAND, �'VA 9R034 <br />CONTRACT PRICE OF WORK $3A9.00 <br />WORK DESCRIPTION Remove/Replace Electric Water Hea�cr <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHpWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWABHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRA1N <br />pACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOPlETC.) <br />OTHER <br />Plumbing I WORK <br />sipn YYPE <br />363468 <br />PERMIT# <br />�L���-Y:. i!-G.)� <br />PHONE <br />(206)909-7319 <br />800 454-8955x133 <br />CONTR.LICENSE# <br />FAST\V WH9486C <br />O1/03/2008 <br />SOURCE <br />CITY OF EVERETT IOCAL SALES TAX CODEIS 3105 <br />� <br />FORCE� AIR SYSTEMS <br />HEA7 PUMP <br />UNIT HEATERS <br />Cl.OTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACEI570VE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTH ER------------'------ <br />I HEREDY CERTiFY THAT I MAVF READ AND E%AMINEO THIS APLICAI'ION AND KNOW TNE SAME TO BE TRUE AND CORRFCT ALL <br />PROVISIONS OF LAWS AN� ORDINANCES GOV[RNING TFiIS TYPE O(' WORK WILL BE COMPLIED WIHT WHETHER SPECIFIED H[RE <br />OR NOT. THE GRANTING OF A PLRMI7 DOES NOT PRESUME TO GIVE AUTHORI7Y TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR IOCAL lAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTFUCTION. THP.T I AM AUTHORIZEO <br />BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MAOE AND 1 COMPIY WITH TNE STATE <br />CONTRACTORS LAW 18.27 RCW ANO 296.200 WAC. <br />Signaturo af OwnedContrector/Authorizod Agoni ��.-,: ;,_ .�, �..—./.-• <br />Date 03!27/2007 <br />ui o�i <br />