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From: 09/22/�006 12:18 #791 P.D02/002 <br /> PERMIT APPLICATION <br /> ��i:� CITY OF �b'tRETT PERMIT SERVICCS c ���� <br /> 3200 CEDAR STREET, EVERETT, WA �8201, 425-257-8810 �`� <br /> ' 09220G <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 4433 RiDGEMONT DR,EVl:ItETT, NA 98203 00555600000801 /�/� �OC — {J <br /> ' � l <f <br /> LEGAL LOT NO. BLOCK TRACT <br /> OWNER ADDRESS PHONE <br /> NfISBGRGGR,TAMMY 4433 RIDGEMONT DR � <br /> • GVERBTC, WA 98203 (425)252•101_ <br /> TENANTNAME CONTACTNAME PHONE <br /> PAMELA Li1LL q25 814-3124 x133 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> PAST NATER I�EA'PLR COMPANY L2C01 132ND AVE Nii <br /> FAS1'W WH948BC <br /> (�i25)81a-3124 KiRKLAND,WA 98034 Ol/03/2008 <br /> PROPOSED USE OF BUILDING Buildinp Machan�ca Additlon H AT SOURCE <br /> PERMIT Combinallon PIum61�p WORK /���ratlon E��cMc <br /> TYPE D�mollUon Slyn T�'PE New as <br /> Re eldMdnt er <br /> CONTRqCT PRICE OF WORK �qqg,00 CITY OF EVERETT LOCAL SALES TAX CODEIS 31D5 <br /> WORK DESCRIPTION Rcmove/Replace Gas Watcr Henter <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI URE OR ITEM NO. TYP OF •I U R ITE <br /> ____ WATER CLOSET A/C-A/HANDLIN6 UNITS <br /> _____ BATHTUB FORCED AIR SYSTEMS <br /> __ ___ LAVATORY (WASH BASIN) HEAT PUMP <br /> ____ SHOWER UNIT HEATERS <br /> ___ KITCHEN SINK& DISPOSAL ^ CtOTHES DRYER <br /> _� DISHWASHER RANGE HOOD <br /> _�__ LAUNDRY TRAY 1 WATER HEATER <br /> ___ CLOTHES WASHER METAL FIREPLACE/STOVE <br /> ___ URINAL FIREPLACE INSERT <br /> _ DRINKING FOUNTAIN GAS FIREPLACE <br /> _ FLOOR DRAIN GAS RANGE <br /> ____ BACKFLOW PREVENTER GAS rIPIN� <br /> _`_ SINK (SERVICEIBAR/MOP/ETC.) EXHAUST FAN <br /> _ OTHER OTHER _�`_ <br /> 1 HERFBY CERTIFY THAT I HAVE READ AND E%AMINED THIS�APUCATION AND KNOW THE SAME TO BE:'RUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WII'.f WHETHER SPECIFIED MEREI <br /> OR NOT.TNE GRANiING OF A PERMIT DOES NOT PRESUME TO GNE AUTI10RI1Y TO VIOLATE OR CAiVCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTIVY.THAT I AM AUTHORIZED <br /> (iY THE OWNER OF THIS PROPERTY TO PERFORh7 THE WORK FOR WHICH APPLICATION IS MADE AND I COMPI,Y WITH THE STATE <br /> CONTRACTORS LAW t8.27 RCW AN�298200 WAC. <br /> Signaturo of OwnodContraetor/Authorisod Agani — Dets Q9'222006 <br /> i'��v' �c�" <br /> u�}ni <br />