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,.-�� F;RMIT APPLICAT��,N <br /> CITY aF �VERETT PERMIT SERVICES <br /> ._� 3200 CEDAR STREET, EVERETT, VNA 98201, 425-257-8810 <br /> cKir,za <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 70U' KROMGR AVL. LV[RL=TT. N'A 9R2UI 00437G725003U0 �,.,I 03 ��� <br /> lJ`� <br /> LEGAL LOT N0. RLOCK ITRACT <br /> DE <br /> OWNER ADDRESS PHpNE <br /> :��uiiiuce. nnvi� ic,s39 nt: izs <br /> • RIDMOND, 98052 (425)882-3G35 <br /> 7ENANT NAME CONTACT NAME PHONE <br /> � I),\l�cil�IT[R PAMLLA HILL �, �. <br /> d_" 814-31_1 �133 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> I':�ST 1VATI:R IILATER COMPANl' 12601 13Zi�D AVf:NC I'AST\4'IIC052DI' <br /> (d?SIK14-3124 KIRKLAND. �VA 98034 02/16/2005 <br /> �. <br /> PROPOSED USE OF BUILDING 8uildin0 Mechantca Addition HEAT SOURCE <br /> PERMIT Combinallon Plumbing WORK , ,q�tention E�actric I <br /> TypE Demolilion Slgn TYPE Naw as <br /> rl I r Re �IrlMalnt ther <br /> CONTRACT PRICE OF WORK 5349.00 CITY UF EVER[TT LQ�AL SALES ?AX CODEIS 3105 <br /> WORK DESCRIPTION �� //'' ` <br /> Rentove/Replace 61ec�ric Water Flcamr � uq ����4 l�i�. J/�-r�����j 14c� <br /> �//!G;'�ZC��f C'L�p7- <br /> PIUMBING MECHANICAL <br /> NO TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> _______ WATER CLOSET _______ AJC•AIHANDLING UNITS <br /> ______ BATHTUB _______ FORCF,D AIR SYSTEh95 <br /> ______ LAVATORY (WASH BASIN) _____ HEAT PUMP <br /> ______ SHOWER ___ UNI7 HEATERS <br /> _______ KITCHEN SINK & DISPOSAL ____== CLOTHES ORYER I <br /> ___�_ DISHWASHER RANGE HOOD <br /> _______ IAUNORY TRAY ____�__ WATER HEATER � <br /> ____ CLOTHES WASHER _�__ METAL FIREPLACEISTOVE <br /> _____ URINAL _____ FIREPLACE INSERT I <br /> ____ DRINKING FOUNTAIN =� GAS FIREPLACE � <br /> _____ FLOOR DRAIN GAS RANGE <br /> _____ RACKFLOW PREVENTER GAS PIPING <br /> �__ SINK (SERVICEIBARIMOPIETC.) ___ EXHAUST FAN <br /> _ __i OTHER_ __ OTHER_„_____ <br /> 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALl <br /> F'ROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS iYPE OF WORK WILL BE COMPLIED WIHT WHE?H[R SPECIFIED HEREI <br /> OR NOT.THE GRANTING OF A PERMIT DOES N07 PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.THAT I AM AU fHORIZED <br /> BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND�COMPLY WITN THE STATE <br /> CONTRACTORS LAVJ 18.27 RCW AND 296.200 WAC. <br /> Signaturc of OwnedContractor/Authorizad Agoni ��%� ��G�� Oate 02/25/2004 <br /> ui un� ' <br />