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P_.RMIT APPLICATiI. �I <br /> CITY OF EVERETT PERMI �T SERVICES <br /> � 3200 CEDAR STFtEET, EVERETT, WA 98201, 425-257-8810 <br /> CKI117 <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 7504HEATHC•R1VAY,LVERETT,WA 98203 00594200200301 f1/l�"t"`���C��I,� <br /> u- <br /> LEGAL LOT NO. 8�.17CK ITRACT <br /> DE <br /> OWNER ADDRESS PHCrNE <br /> P1'ATTE,HAROLD 7504 HEATIiGR NAY <br /> • GVGRETT,'1VA 98203 (425)353-8053 j <br /> TENA��T NAME CONTACT NAME PHONE <br /> PA�IHLA IIILL 425 814-3I24 x133 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> PAST NATGR H6ATER COMP�\NY 12G01 132ND AVE NL FASTIVHC052DF <br /> (q29)S�q_3124 KIRKLAND,WA 98034 02/16/2005 <br /> PROPOSED USE OF BUILDING Bulidinp M�eh�nical WORK Add��1O� HEAT SOURCE <br /> PERMI7 Cambinatfon Plumbinp Altandon Eleetrie <br /> TYPE Dam�lilion Slyn TYPE New as -� <br /> r R� ddMalnl her <br /> COWTRACT PRICE OF WORK S449.00 CITY OF EVERETT LOCAL SALES TAX CODEtS 3105 ' <br /> WORK DESCRIPTION <br /> Rcmovc/Rcplacc Gas 1Vatcr licatcr <br /> p�IJMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE R ITEM <br /> ,___ WATER CLOSET ______ A/C-A/HANDLING UNITS <br /> _r__ BATHTU6 __�_ FORCED AIR SYSTEMS <br /> ______ LAVATORY (WASH BASIN) ____ HEAT PUMP <br /> __�__ SHOWER ___ UNIT HEATERS <br /> _____ KITCHEN SINK $ DISPOSAL _�_ CLOTHES DRYER <br /> _____ DISHWASHER _ RqNGE HOOD <br /> ____ IAUNDRY TRAY � _ WATER HEATER <br /> _^__ CLOTHES WASHER __ METAL FIREPLACEfSTOVE <br /> __�_ URINAL ____ 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 /> 1 HEREBY CERTIFY THqT 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 1YPE OF WORK WILL BE COMPLIED WIHT WHETHER SPECIFIED HEREI <br /> OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORI7�'TO VIOIATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULAT�NG CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.THAT IAMAUTHORIZED <br /> 8Y THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STqTE <br /> CONTRACTORS lAW 18.27 RCW ANO 296200 WAC. <br /> Signalure of OvmedContractor/Authorizad Ageni �-JGr ��G�� Date OS/12/2004 <br /> u�.ni <br /> - -- - — � �--- � <br /> � <br />