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from: 03/23/2007 09:34 tt115 P. OL2/002 <br /> PER1471T AF�PLICATION 362se6 <br /> �w��� CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> 3 -a b-�7 <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 4017 KRO�IGR AVL-,LVCRETT,NA 98201 OOSOt9UUU0030U ty'�(✓ �G �_ L't,(,' <br /> r <br /> LEGAL LOT NO. BLOCK TRACT <br /> DE � <br /> OWNER ADDRESS PHONE <br /> 4017 KROM6R AVE (q?5)257-3U57 <br /> WILSON, PATTY . L:VERETT,MA 98201 <br /> 7ENANT NAME CONTACT NAME PH�NE <br /> Pamcla Hill S00 454-S955x133 <br /> CONTRACTOR ADDRESS CONTR.LiCENSE# <br /> PAST�l'Al'ER HHATBR COMPANI' 12601 132ND AVL A'f FASTR'W1�I948RC <br /> IilItKLAND, NA 98034 01/03/'_008 <br /> (4?5)814-3124 <br /> PR�POSED USE OF BUILDING Bulld(np Meehanice —T- Addilion HEAT SOURCt <br /> PERMIT Cum6�netlon Plumhln� �ORK ' qlteratlon Electric <br /> �'�'pE Domolition Sign TYPE New iGas <br /> _ S.rinklor Re alrLNai�t ther <br /> CONTRACT PRICE OF WORK $q49.00 CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br /> WURK DESGRIPTION Remove/Replace Gus Nater Heater <br /> PLU�dBING rj1�CHANICAL <br /> N . TYP OF FI TURE R I EM O TYPE OF FIXTl;RE OR ITEM <br /> WATER CLOSET _______ A1C-A/HANDLING UNITS <br /> BA'fHTUB ______ FORCEO AIR SYSTEMS <br /> LAVATORY (WASH BASIIJ) ,___ HEAT PUMP <br /> SHOWER ,______ JNIT HEATERS <br /> KITCHEN SINK & DISPOSA�_ __�_ CLOTHES ORYER <br /> DISHWASHER __ _ RANGE HOOD <br /> LAUNDRY TRAY __�__ WATER HEATER <br /> CLOTHES WASHER ____ METAL FIREPLACEISTOVE <br /> URINA:. _____ FIREPLACE INSERT <br /> DRINKING FOUNTAIN _ GAS FIREPLACE <br /> FLOOR DRAIN ,__ GAS RANGE <br /> BACKFLOW PREVENTER _, GAS PIPING <br /> SINK (SERVICEIBAR/MOP/ETC.) ___ EXHAUST FAN <br /> ----- OTHER ---- OTHER-----�------------ <br /> ---- <br /> I ---- �-----"---- -- ---- --— – -- — -- <br /> �' ---- -- --'---- – ---- '--^--------�------- <br /> : ��.cREBY CERTIFY THl�T I HAVE READ AND EXAMINED THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> �� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE Of WORK WILL BE COMPLIEO WIHT WHETHER 5PECIFIEO HERFI <br /> OR YOT.�HE GRANTING OF A P[RMIT DOES NOT PRESUfAE TO GIV[AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR IOCAL IAW REGULATING CONSTRUCTI04 OR THE PERFORMANCE OF CONSTRUCTION.TMnT I AM AUTHORIZEC7 <br /> 6Y THE OWNER OF TIiIS PROPERTY TO PERFORM THE WORK FOR'NHICHAPPLICATiON IS M11H�E AND 1 CnMPLY WITH TNE STATE <br /> ;;ONTRl�CTORS LAW 18.27 RCW ANO 296.2C�W/�C. <br /> iSlpnaWre of OwnadCantrectorlAuthnrized Agom `�.�.-�`��,_�..,..� Date 0323YL007 <br /> ¢fip:i <br />