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Frorn: 12/12/2007 11 :49 q238 P.002/OD3 <br /> PERIVIIT APPLICA�ION 3866'6 <br /> ��i�� CITY OF E'VERETT PERMIT SERVIGES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-6810 <br /> 425_257-8857 FAX <br /> SITE ADDRESS P.ARCEL TAX I.U.# PERMIT# <br /> 4320 R1DG6MONT DR,EVERETT,WA 98203 00555600002200 <br /> M c� �3 0� <br /> LEGAL LOT NO. BLO(:K �TR4CT <br /> E <br /> OWNER AODRESS PHONIE <br /> MILLER,PLORENCE 4320 RIDGEMONT DR (425)259-3578 <br /> • T:VERETT,NA 98203 <br /> TENANT NAME CONTACT NAME PHONE <br /> Carol Randall gn0-q54-8955 x 133 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> PASTIVATERtIL•ATBRCOMPANY 12G01132NDAVENE FAST�VWH948BC <br /> 800-454-8955 KIRi:LAND,WA 9803A O]/03/2008 <br /> PROPOSED USE OF BUILDING eu�ld�np N�ch�nica WORK �dlGon H T 90URCE <br /> PERMIT Combinatlon Plumhlnp AlleroNon Eleetrfc <br /> TYPE D�molilion elgn TYPE Naw as <br /> Rs slrlMaint ther <br /> CONTRqCT PRICE OF WORK S349.00 CITY OF EVERETT LOCAL SAIES TAX CODEIS 3105 <br /> WORK DESCRIPTION RemoveAteplaco Electric\Vater Heutcr <br /> PLUM8ING MECFIANICAL <br /> N . TY OF FI T ITE T OF XTURE OR ITE <br /> ___ WATER CLOSET _____ A!C•A/HANDLIN6 UNITS <br /> ____ BATHTUB _�,_ FpRCED AIR SYSTEMS <br /> ___� LAVATORY(WASH BA�'�IN) HEAT PUMP <br /> _�_ SHOWER __ UNIT HEATERS <br /> _____ KITCHEN SINK & DISPOSAL _ CLOTHE3 DRYEIt <br /> __ DISHWASHER RANGE HOOD <br /> ___ LAUNDRY TRAY l__ WATER HEATER <br /> ___ CLOTHES WASHER __ METAL FIREPLACEISTOVE <br /> __ URINAL _�_ FIREPLACE INSERT . <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR ORAIN GAS R4NGE <br /> y_ BACKFLOW PREVENTER GAS PIPING <br /> ,_ S�NK (SERVICE/8AR/MOPfETC.) ___ EXHAUST FAN <br /> _ OTHER _ OTHER_---------- <br /> t HEREt3Y C[RTIFY THAT I HAVE READ AND EXAMI�IEO TH�S APLICATION AND KNOW THE SAME TO BE TRl1E AND CORRECT.q�L <br /> PROVISiONS OF IAWS AN�ORDINANCES 60VERNING TH7S TYPE OF WORK WILL BE COMPLIEO WIHT WHETHER SPECIFIED HEREI <br /> OR NOT.THE ORANTING OF A PERMIT DOES NO7 PRESUME TO GNE AUTHORITY TO VIOWTE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL I1�W REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.THAT 1 AMAUTHORIZED <br /> BY 1HE OWNER OF THIS PROPERTY TO PERFORM 7?1E WORK FOR WHICH APPLICATION 19 MADE AND I COMPLY WITH TNE STATE <br /> CONTRACTORS LAW 18.2T RCW AND 296.2Q0 WAC. <br /> Slgnelura of OwnedContnctorlAulhorized Agant �,_,aoy�7�f��yp Date �Z��z��007 <br /> _� . f <br /> ui.n� <br />