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from: U5/22/20^' 07:35 N108 P.003/004 <br /> PERMIT APPLi�ATIQN 368� <br /> ����� CITY OF EVERETT PEf�MI�' �ERVICES <br /> 3200 CEDAR STREET, EVERET7, WA 98201, 425-257-8810 <br /> 425-257-8857 FAX <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 2220 GRAND AVE,EVEI�TT,WA 9820I 00439148302300 �� , � �, <br /> . � �, (; l;�� <br /> LEGAL LOT NO. BLOCK TRACT <br /> OWNER ADDRESS PHONE <br /> RGMDOLD, SHANNON Z220 GRAND AVG (206)291-4356 <br /> • EVERGTT, WA 98201 <br /> TENANTNAME CONTACTNAME . PHONE <br /> Pamela Hiil 800-454-8955 x 733 <br /> CONTRACTOR ADDRESS CONTR.LICENSE� <br /> PAST WATER HSATER COMPANY 12601 132ND AVE NE FASTW WH948I3C <br /> (425)$14-3124 KIIiKLANU,WA 98034 Ol/C`32008 <br /> PROPOSED USE OF BUILDING B���a��a t+Ncnanlca WORK �dllbn H T SOURCE <br /> PERMIT CombinaN;n Plumbinp Alteratlon I�eMe <br /> TYPE o«oonaon s�oo TrPE R.w �s <br /> R� drlMaint thar <br /> CONTRACT PR'^.E OF WORK $qq9,p0 CITY OF EVERETT LOCAL SAIE$TA%CODEIS �705 <br /> WORK DESCRIPI iJW Removc/Repiace Gns Water Heater <br /> PlUM81NG MECHANICAL <br /> OF U 1 E OF xTURE OR ITE <br /> _____ WATER CLOSET ______ A/C-A/HANDLIN6 UNITS <br /> ____ BATHTU 3 __� FORCED AIR SYSTEMS <br /> ___�_ LAVATORY (WASH BASIN) ___ NEAT PUMP <br /> __ SHOWER ___ UNIT HEATERS <br /> _,___ KITCHEN SINK 4 UISPOSAL _ CLOTHES DRYER <br /> ___ DISHWASHER _ RANGE HOOD <br /> __�_ LAUNDRY TRAY _�_ WATER HEATER <br /> ____ CLOTHE8 WASHER __, METAL FIREPLACEISTOVE <br /> _ URINAL _�_ FIREPLACE INSERT <br /> _�__ DRINKING FOUNTAIN (3AS FIREPL'.CE <br /> _ FLOOR DRA�N GAS RAN6E <br /> _�___ BACKFLOW PREVENTER __ GAS PIPINO <br /> _� SINK (SERViCE/BAR/MOP/ETC.) ______ EXHAUST FAN <br /> ---- OTHER --- OTHER_� ------- <br /> I MEREBY CERTIFY THAT I MAVE READ AND EXAMINEO THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOV[RNING THIS lYPE OF WORK WILL BE COMPLIED WIH7 WHETIIER SPECIFIED HEREI <br /> OR NOT.THE ORANTiNG OF�PERMIT DOES NOT PRESUME TO�IVE AUTHORI7Y TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STqTE pR LOCAL LAW REGULATING CONSTRUCTION OR TME PERFORMANCE OF CONSTRUCTION.THATI AMAUTHORIZED <br /> BY THE OWNE-R OF TIi1S PRCi ERTY TO PERFORM TME WORK FOR WNICH,�PPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW ANO 298200 WAC. <br /> Signatura of OwneNContrector/Authorixed Apem ���.. ��.�,;> Da:e <br /> OSR2l2007 <br /> ui�m <br />