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�-��� R=RMIT APPLICATt )N <br /> ���� CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> ck��a� <br /> SITE ADDRESS PARCEL TAX I.D.� PERMIT# <br /> 4712 MEADO\V LN,GVERGTT, WA 98203 0061 I 100009401 ��n c-��� . � �., <br /> l .J� <br /> LEGAL LOT NO. BLOCK TRACT <br /> DE <br /> OWNER AODRESS PHONE <br /> MGND6NHALL,C 4��2 MEADOW LN �qi5��52•33I5 <br /> • BVERETT,WA 98203 <br /> TENANT NAME CONTACT NAME PHONE <br /> PAMGLA HILL q25 81d-312d �133 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> PAS7'WATBRHGATHRCOMPANY 12601132NDAVBNB FASTWHC052b1' <br /> (•125)814-3124 KIRKLAND, WA 98034 02/I6/2007 <br /> PROPOSED USE OF BUILDING euuat�o M�chani�C� WORK AddfGon HEAT SOURCE <br /> PERMIT Combin�tion Plumbin Nl�ratlo� lac�ric <br /> TYPE amolition Sipn TrPE N�w as <br /> r R� ddMainl her <br /> CONTRACT PRICE OF WORK g349.00 CIN OF EVERETT LOCAL SALES TN(CODEIS 3105 <br /> WORK DESCRIP710N Renwvc/Replace Glectric Wa�cr Heater <br /> UMBI MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO TY OF FIXTURE OR ITEM <br /> ____ WATER CLOSET __�__ A1C-A/HANDLIN6 UNITS <br /> ______ BATHTUB __�_ FORCEO A�R SYSTEMS <br /> _ _____ LAVATORY(WASH BASIN) __�_ HEAT PUMP <br /> ____� SHOWER ___ UNIT HEATERS <br /> ___ KITCHEN SINK 6 DISPOSAL ____ CLOTHES DRYER <br /> ___ DISHWASHER _ _ RANGE HOOD <br /> LAUNORY TRAY ~�� WATER HEATER <br /> CLOTHES WASHER O� METAL FIREPLACEISTOVE <br /> ___ URINAL / �'�, � FIREPLACE INSERT <br /> DRINKING FOUNTj(f `� �- � f3AS FIREPLACE <br /> —__ '( o __�_ <br /> FLOOR DRAIN ✓/' ��' /, _`_ GAS RANCiE <br /> BACKFLOW PR TEI��L ��� �3A3 PIPING <br /> ---- ,, ,�' <br /> SINK (SERVICEI�� �{OP�CN) � __ EXHAUST FAH <br /> ---- OTHER---�� —�_ OTHER--------------------- <br /> --- -----� --- -------------- <br /> _ �o ' ,, <br /> --- ------ ---- -- ------ ----------------------------- <br /> r <br /> ---- ---------------SH- - --- — ---------------- <br /> --- --------------s -- -�--- ---------'----'------ <br /> 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APLICATION AND KNOW TME SAME TO BE TRUE AND CORRECT.ALL <br /> PROVIS�ONS OF lAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WIHT WHETHER SPECIFIED HEREI <br /> OR NOT.THE GRl�NTING OF A PERMIT DOES NOT PRESUME TO GNE AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PFRFORMANCE OF CONSTRUCTION.TMAT I AM AUTMORIZED <br /> BY TME OWNER OF TI115 PROPERTY TO PERFORM TME WORK FOR WHI�H APPIICATION IS MADE AND I COMPLY WITM THE STATE <br /> CONTRACTORS L�W 18.27 RCW AND 296.200 WAC. <br /> Signature of OwnedContracrorlAuthorized Apeni �;�:.�,_ ��- " f- D�t� 06/20/2005 <br /> � �. <br /> u�.n� <br />