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Fran: 10/14/2008 12:58 P044 P.003/005 <br />PERMIT APPLICATION 418879 <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />425-257-8857 FAX <br />SITE ADDRESS <br />PARCEL TAX I.D.# <br />PERMIT# <br />1612 MCDOUGAIL AVE, EVERETT, WA 98201 <br />00438233502700 <br />LEGAL <br />LOT NO. <br />BLOCK TRACT <br />E <br />OWNER <br />ADDRESS <br />PHONE <br />1. 1612 MCDOUGALL AVE <br />KEMPF, STEVEN <br />(425)299-0388 <br />EVERETT, WA 98201 <br />TENANT NAME <br />CONTACT NAME <br />PHONE <br />_ <br />Carol Randall <br />800454.8955 x 133 <br />CONTRACTOR <br />ADDRESS <br />CONTR.LICENSE# <br />PAST WAI Elt I IEA'ITR COMPANY <br />12601 132ND AVE NE <br />FAS'I1VWI194SBC <br />KIRKLAND, WA 98034 <br />01/04/2010 <br />PHONE 800-454-8955 <br />PROPOSED USE OF BUILDING <br />I <br />Building Mechenlce <br />WORK <br />Addition <br />HEAT SOURCE <br />PERMIT <br />Combinetion PlumbingAlterellon <br />LJElectric <br />TYPE <br />Demolillon Sign <br />TYPE <br />Naw <br />as <br />r <br />Re eirlMelnt <br />her <br />CONTRACT PRICE OF WORK $4.19.00 <br />CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br />WORK DESSRIPTION Rcmovc/Rcplace Gas Water Heater <br />PLUMBING <br />MECHANICAL <br />O. 11 TYP OF FIXTURE OR ITEM <br />O. P OF FIXTURE OR ITEM <br />WATER CLOSET <br />A/C-A/HANDLING UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />_ <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK & DISPOSAL <br />_ <br />CLOTHES DRYER <br />DISHWASHER <br />_ <br />RANGE HOOD <br />LAUNDRY TRAY <br />I <br />WATER HEATER <br />CLOTHES WASHER <br />METAL FIREPLACE/STOVE <br />_ <br />URINAL <br />FIREPLACE INSERT <br />DRINKING FOUNTAIN <br />_ <br />GAS FIREPLACE <br />FLOOR DRAIN <br />_ <br />GAS RANGE <br />BACKFLOW PREVENTER <br />GAS PIPING <br />SINK (SERVICE/BAR/MOP/ETC.) <br />EXHAUST FAN <br />OTHER <br />OTHER____�_____T <br />I HEREBY CERTIFY THAT 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 TYPE OF WORK WILL BE COMPLIED WIHT WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE F_RFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED <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 18.27 RCW AND 296.200 WAC. <br />SiBnnturo of Ownor/Contractor/Authorized Agant ,aa�''b�Jl�/ ...�>'4'P Date 10/14/2008 <br />ai 911 <br />