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P��'RMIT APPLICATII. N � <br /> CITY OF EVERETT PERMIT SERVICES � <br /> ._ 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 I <br /> CKlill � <br /> SITEADDRESS PARCELTAXI.D.# PERMIT# !I <br /> 1914 OAKLS AVH,LVBRBTT,�VA I8201 00437)3S 102500 I, / I <br /> �,i� �_�, - � <br /> LEGAL LOT NO. BLOCK I7RACT � <br /> DE <br /> OWNER ADDRESS PHONE <br /> DGNNIS,LAIVRENCB �9�4 OARBS AVB � � <br /> • L'VC'RtiTT,\VA 98201 (4_5)353-45)fi <br /> TENANT NAME CONTACT NAME PHONE � <br /> PA�18LA HILL 425 314-3124 x133 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# i <br /> 1'AST�VATGR HHATBR COMPANI' 12G01 132ND AVL NB FASTR'IiC052DF <br /> (425)314-3124 h�KKLAND,\1'A 95034 02/1G/2005 <br /> PROPOSED USE OF BUILDING e�ua��o M�ehanlea WORK Addillon H AT SOURCE <br /> PERMIT Com6ination Plumhln . Allentlon Electric <br /> 1'ypE D�molili�n Slyn T�'PE Naw Gas <br /> � Ra alrlMaint Olher i <br /> CONTRACT PRICE OF WORK 5449.00 CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br /> WORK DESCRIPTION Rcmovc/Rcplacc G:is 11'atcr Ilcatcr � <br /> � <br /> � <br /> PLUMBING MECHANICAI <br /> NO. TYPE O� FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> _____ WATER CLOSET ______ AIC-A/HANOLING UNITS <br /> ___ BATHTUB �_____ FORCED AIR SYSTEMS <br /> ____ LAVATORY (WASH BASIN) _�_ HEAT PUMP <br /> __ SHOWER ___ UNIT HEATERS <br /> ___ KITCHEN S;NK 8 DISPOSAL ____ CLOTHES DRYER <br /> __ DISHWASHER _ RANGE HOOD <br /> ___ LAUNDRY TRAY _ �__ WATER HEATER <br /> __ CLOTHES WASHER __ METAL pIREPLACEISTOVE <br /> � URINAL ____ FIREPLACE INSERT <br /> _ DRINKING FOUNTAIN _ GAS FIREPLACE <br /> _ FLOOR DRAIN GAS RANGE <br /> _`_ BACKFLOW PREVENTER __ GAS PIPING <br /> _� S�NK (SERVICEIBARIMOP/ETC.) ___ EXHAUST FAN <br /> ____ OTHER ___ OTHER___�_ <br /> »– -- --- – --- — -------------- <br /> ---- -- ------- ----- ------------------ � <br /> 1 HFREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WIHT WHETHER SPECIFIED HEREI <br /> OR NOT.TME GR4NTING OF A PERMIT DOES NOT PR"cSUMc TO GIVE AUTHORIN TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.THAT�AM 4UTHORIZED <br /> BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITh THE STATE <br /> CONTRACTORS LAW 16.27 RCW AND 296.200 YlAC. <br /> Slgnaturo of QwnedContractor/Authorized Ageni �JG� ��� Date 09/07/2004 <br /> I <br /> u� oni ; <br /> i <br />