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10/2512011 13:19 r023 P.002I002 <br /> From: � � _ <br /> PERMIT �4PPLICATION 560181 <br /> �wi�� CITY OF EVERETT PERMIT SERVICES <br /> 'F,_ 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> 425-25 i-8857 FAX �� �a,j� <br /> SITE ADDRESS PARCEL TAX I.D.# PERMI7# <br /> 619 KfNGS PL,L-VL•RI:I'T,WA 98203 00606400001100 /�//��5� /) <br /> /// (/ G� <br /> LEGAL LOT NO. SLOCK ITRACT <br /> DE PHONE <br /> OWNER ADDRESfi <br /> G1`I K]NGS PL (425)259-2438 <br /> SI:A,WILI3UR . GVGRFIT, WA 98203 <br /> TENANT NAME CONTACT NAME PHONE <br /> �u�l �L' Q,s 425�36-708� <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> PASTWATGRHBATGRCOMPANY 12601132NDAVENB rASTWW1i94RDC <br /> KIRKLAND,WA 98034 01/04/2012 <br /> 425�36-70� <br /> Builtlinp Machantca Additlon H T SOURCE <br /> PROPOSED USE OF BUILDING PERMrr Comb�natlon PIum6ing WORK �utention E�ectrte <br /> R2Sid8nli81 TYpE Damolilion Sign TYPE New aF <br /> � R� atrlMalnl ther <br /> CONTRACT PRICE OF WORK� g`� . -- CITY OF EVERETT LOCAL SALES T.4X CODEIS 3105 <br /> WORK DESCRIf'TION 2emove/Replacc Glectric Watcr[�Icatcr <br /> pLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET ______ A/C-AIHANDLING UNITS <br /> BATHTUB ,_�__ FORCED AIR SYSTEMS <br /> LAVATORY (WASH BASIN) ___ HEAT PUMP <br /> SHOWER _ UNIT HEATERS <br /> � KITCHEN SINK 8 �ISPOSAL __.�_ CLOTHES DRYER <br /> DISHWASHER __ RANGE HOOD <br /> LAUNpRY TRAY _�__ WATER HEATER <br /> CLOTHES WASHEft �__ METAL FIREPLACE/STOVE <br /> � URINAL ____ FIREPLACE INSERT <br /> DRINKING FOUNTAIN _ GAS FIREPLACE <br /> FLOOR DRAIN ___ GAS RAN.^,E <br /> HACKF�OW PREVENTER �_ GAS PIPING <br />'� SINK (SERVICEIBAR/MOP/ETC.) ___ EXHAUST FAN <br /> ---- OTHER_------------ <br /> OTH E R ---- --- <br /> 1 HEREBY CERTIFY THAT I HAVE READ ANC EXAMINED THIS APLICATION ANO KNOW THE SAME TO BE TRUE AND CORREC7.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WIHT WHETHER SPEC�FIED HEREI <br /> OR NOT.THE GRANTING OF A PERMIT DOE';NOT PRESUME TO GIVE AUTHOFtITY TO VIOLATE OR CANCEI TI1E PROVISION OF/WY <br /> OTHER STATE OR LOCAL LAW REGt1LATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.TMAT I AMAUTHORIZEO <br /> 0Y THE OWNER OF TNIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WI7H THE STATE <br /> CONTkACTORS LAW 18.27 RCW AND 296.20G WAC. <br /> SlgnaWro of OwnedContraclodAuthorized Agont �a ❑ate ����5/2011 <br /> ti <br /> ui mi <br />