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fron: 10/28�?008 14:37 n411 P.002I004 <br />SITE <br />PEfZMIT APPLICATION <br />CITY OF EVERETT PERMIT SERV{CES <br />AR STREET EVEREi-i� WA 98201 425-257-8810 <br />c20485 — <br />3200 CED <br />, � � <br />425-257-8857FAX /� ��5�-C�. <br />PARCEL TAX I.D.# <br />112 N INTL'RCIT"Y AVB, GVCRETT, WA 98��� 00450300601501 <br />LEGAI LOT NO. BLOCK I <br />SC. — <br />OWNER ADDRESS <br />t �2 w tNTt�Rcrrv nvr_ <br />DAY, PAIJLETi'E . gVHRETT, NA 98204 <br />TENANT NAME CONTACT NAAhE <br />Carol Randall <br />CON7RACTOR ADDRESS <br />PAST WATER I-[LATER COb1YANl' 12601 132'�'D AVB NE <br />KIRKLAND, NA 9k034 <br />� 800-454-8955 <br />AROPOSED USE OF BUIL�ING eui�dinp Machanl9a WORI <br />PERMIT Comhinatfon Plumbin <br />TYPE Don�olillon Slan T�'PE <br />CONTRACT <br />$349.00 <br />WORK DESCRIPTIDN Remove/ReplaceElectric WaterHea[er <br />BA7HTU 8 <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRY TR4Y <br />CLOTHES WASHER <br />URINAL <br />�kINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOVI'PREVENTER <br />SINK. (SERVlCE/BARIMOP/ETC.) <br />OTHER__� <br />PERMIT# <br />ji�� o - �i�; <br />PHONE <br />(..25)265-9186 <br />PHON� <br />8C0-454-6955 x 133 <br />CQNTR.LICENSE# <br />FAST\VNH9486C <br />01104/30I0 <br />ioretion <br />E <br />CO�EIS 3105 <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATEit HEATER <br />METAL FIREPIACEISTOV[ <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />E%HAUST FAN <br />QTHER--------------------- <br />� <br />I HEREBY CERTIFY THAT I HAVE RG/1D AND EXAMINEO THIS APLICATIOti AND KNOW THE SAME TG BE TRUE AND CORRECT. ALL <br />PF20VISIONS OF L/1W5 ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIE� WIHT WHETHER SPECIFIED HERE <br />OR NOT, THE GRANTING OF A PGRM!T DOES NOT PRESUME TU GIVE AUTHORI7Y TO VIp:ATE OR CANCGL 7HE PROVISION OF ANY <br />OTHER STATE OR LOCAI LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. TNAT I AM AUTHORIZED <br />BY TME UWNER OF THIS PROPERTY TO PERFORM THE WURK FOR WHICH APPUCATION IS h7ADE AND 1 COMPLY WITH THE :TFfE <br />CONTRACTORS LAW 18.27 RCW AND 258200 WAC. <br />SlgnaWro of OwnedContractorlAuthorizad Agunt <br />��,y��pP Date 1028/7.008 <br />µ)1 0:1 <br />