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From <br />oi�n�i2oi2 �t:io r933 P.002/002 <br />PERMIT APPLICATION 569004 <br />�� CITY OF EVERETT PERMIT SERVICES <br />._.,� 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />425-257-8857 FAX <br />SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br />232� M <br />�3�tv CDOUGALL AVG, GVI31tGl-I', 1VA 98201 � M I ZO I. — W� <br />LEGAL <br />OWNER <br />I�IIiNSI.I:I', SIDNGI' <br />TENANTNAME <br />ADDRESS <br />2325 MCDOUGALL AVIi <br />� EVIiRI:'I'l', WA 9R301 <br />�CONTACT_NAME <br />�— �-., i..:�•� . <br />CONTRACTOR ADDRESS `J <br />PAS'I' WA'I�GR HIATL'li C0�1PAN1' 12�i01 132ND AVG NL' <br />425-636-706�' h�RKLAND, �\'A 98U3�i <br />PROPOSED USE OF BUILDING Bul�dinp MechanlCa <br />PERMIT Combination -' Plumbinp WORK <br />Residential 7ypE Damolilion Sign TYPE <br />OF <br />WORK DESCRIPTION �Z�i���v�/Replucc Glcctric N'.�mr Ilcxtcr <br />WATER CLOSET <br />BA7HTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />URINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICFJBARIMOPIETC.j <br />EVERETT <br />PHONE <br />(.125)700-3031 <br />PHONE <br />425•636-70� <br />CONTR.LICENSE# <br />fASI'11'\VI194S13C <br />�' �+ � I`-t' <br />Al loratian <br />New <br />A1C-A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER NEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTH ER_______________ <br />SOURCE <br />HEREBY CERTIFY TI IAT I HAVE REAO AND EXAMINED THIS APLICATION AND KNOW THE SnAtE TO DE TRUE AND CORRECT. ALL <br />'ROVISIONS OF LAWS ANU ORUINANCES GOVERNING THIS TYPE OF WORK WILL DE COMPLIED WIHT WMETIIER SPECIFIED HERE <br />1R NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLA7E OR CANCEL THE PROVISION OF ANY <br />)THER STATE OR LOCAL U�W REGUtATING CONSTRUCTION OR THE PERFORAIANCE OF CONSTRUCTION. THAI� 1 AM AUTHORIZED <br />�Y THE OWNER OF THIS PROPGRTY TO PERFORM THE WORK FOR WNICH APPUCAT7UN IS MADE AND I COMPLY WITH THE STATE <br />;ONTRACTORS LAW iB.27 RCW AND 296.200 WAC. <br />of Ownor/ContractodAuthorized Agent <br />Date pI;03/2012 <br />U� 0:1 <br />