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1 � <br /> ;-��- � :RMIT APPLiCATII.N <br /> CITY OF EVERET7 PERMIT SERVICES <br /> .� 3200 CEDAR STREET, EVERETT, �/VA 96201, 425-257-8810 <br /> CK 1451 <br /> S!TE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 3007 KROMER AVG,HVGRGTT, \VA 98201 00437(7250030u <br /> � ���'�%f� <br /> LEGAL LOT NO. BIOCK ITRACT <br /> DE�C. <br /> OWNER ADDRESS PHONE <br /> i�ss�� nr_ iza <br /> i <br /> ALDRIDGL. DAVIU (425)882-3635 I <br /> • REDMOND, )8052 <br /> TENANT NAIYIE CONTACT NAME PHONE <br /> !PAnI[i_A DOUBLBINSTALL! pnM1iLA IIILL 425 814-3124 x133 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> I'AST 1l'AT61t I IL•ATBR COb1PANl' 12G01 132ND AVL NE PASTINHC052D� <br /> (425)814-3124 KIkKLAND, WA <)R034 02/I6/2005 <br /> PROPOSED U5E OF BUILDING Bulldinp htechan�ca additlon HEAT SOURCE <br /> PERMIT Combinallon ' PIum6ing W�RK Alleretion �Eleclric <br /> TYpE Domolilion Sign TYPE New as <br /> rink r Re eldMalnt ther <br /> CON7RACT PRICE OF WORK S3d9.00 CITY qF EVERETT LOCAL SALES YAX CODEIS 3105 <br /> WORK DESCRIPTION <br /> Rcnwec/Rcpl;icc I:Icciric\i�a�cr Hcatcr <br /> P UMBIN MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> _______ WATER CLOSET ______ A/C•AIHANDLING UNITS <br /> ______ BATHTU6 -_--_ fORCEO AIR SYSTEMS I <br /> _______ LAVATORY (WASH BASIN) HEAT PUMP <br /> ______ SHOWER _ UNIT HEATERS <br /> ______ KITCHEN SINK $ DISPOSAL ___�__ CLOTHES DRYER <br /> ______ DISHWASHER __ _ RqNGE HOOD <br /> _______ LAUNDRY TRAY ____�__ WATER HEA7ER <br /> _�__ CLOTHES WASHER ____ METAL FIREPLAf.'EISTOVE <br /> _____ URINAL ______ FIREPLACE INSERT <br /> ______ ORINKING FOUNTAIN ___ GAS FIREPLACE <br /> _�_ FLOOR 7RAIN ____ GAS RANGE <br /> _____ BACKFLO�Y PREVENTER __ GAS PIPING <br /> ____ SINK (SERVICEIBAWMOPIETC.) ___ EXHAUST FAN <br /> ^___ OTHER�`____ _ OTHER_______ <br /> ------------------------ <br /> ----- ---------------- <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING 7HIS TVPE OF WORK WILL BE COMPLIEO WIH7 WFiETHER SPECIFIED HEREI <br /> OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESVME TO GIVE AUTHORIN TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTMER STATE OR LOCAL lAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORI2ED <br /> BY THE OWNER OF THIS PROPERIY TO PERFORM TF1E WORK FOR WHICH APPLICATION IS MAGE AND I COMPLY WITH THE S7A7E <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> Signalurc of OwnedContractorlAuthorized Agam i�-_�i� �f� -� Date <br /> � c= 02/04/2004 <br /> R!1 oqi <br />