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; . P�. RMIT APPLICATIC U <br />CITY OF EVERETT PERMIT SERVICES <br />,_� 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 �h�5s� <br />SITE ADDRESS <br />�RCEL TAX I.D.# <br />�s�� inoiu.���n i�Ez. rveiii:rr. �vn 9sao; oo���s�oosoi�oo <br />LEGAL LOT NO. BLOCK <br />DE <br />OWNER ADDRESS <br />7827 IIIGIII.��ND DR <br />SPJ.I-GRti. l�(I�A . LVLRGI'T, �4'A 9A?03 <br />TENANT NAME CONTACT NAME <br />Pe\MLLA FIILL <br />CONTRACTOR IADDRESS <br />P:1tiT V1'rA'fGR I IIiA'iliR COMPANI' I?fi01 132ND AVIi N1: <br />I:IRhLAND. AVA 98034 <br />(a'_�1S W-31'_a <br />PROPOSED USE OF BUILDING eui�dinp Mechan�ca WORK <br />PERMIT Combinalion ' Plumbing <br />TypE Damolition Sig� TYPE <br />S r r <br />CONTRACT PRICE OF WORK $3d9.00 CIiY OF EVERETT <br />WORK DESCRIPTION Rcinorc ltcplacc I:Iectric \\';�icr licatcr <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />5HOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHEI2 <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICEIBARIMOPIETC.) <br />OTH E R ^___ <br />PERMIT# <br />;'�� 7 � <br />PHONE <br />(a25)i73-477G <br />PHONE <br />.1�; s�d-3���s.�±3 <br />CONTR.LICENSE# <br />PASfV1'11CIIi2pP <br />0'_ I6 '00? <br />Nlerotlon <br />New <br />TAl( CODEIS 3105 <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACEISTOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTH E R--------------- <br />I HEREBY C[RTIFY THAT I HAVE READ AND EXAMINED THlS APLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF L�WS AND ORDINANCES GOVERNING TNIS TYPE OF WORK N'ILL BE COMPLIED WIHT WHETHER SPECIFIED HERE <br />OR NOT. THE GRANTING OF A PERA7IT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION uF ANY <br />OTMER STATE OR LOCAL LAW REGUL�TING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED <br />BY THE OWNER OF THIS PROPERTY TO PERFORh7 THE WORK FOR WHIChI �PPLICATION IS MADE AND I COMPIY WITH TNE STATE <br />mN7RnCTORS LAW tB.27 RCW AND 296.200 WAC. <br />ignaturc of OwnedContracrorlAuthorized Ageni <br />Date 07/2GI2005 <br />. . .. : - a. r' <br />uio,v <br />