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�rom: 0111R/2007 07:55 p252 P.004/006 <br /> PERMIT APPLICATiON 356063 <br /> Gw��� CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT?! <br /> 2202 ROCICi?11LI.ER AVB,EVL-iLrT]', WA 9R201 00439147803101 M 07 O ( - C��� <br /> LEGAL LOT NO. BLOCK ITRACT <br /> _[�� <br /> OWNER ADDRESS ' PHONE <br /> �ioi.�eMn�,cnito�e 2zoz aoc�:r•r:�.Lr_a nv� � � <br /> • tiVERET"T, \VA 95201 4'-5 ?59•2501 <br /> TENANT NAME CONTACT NAME PHONE <br /> Pamelai�lill 800 454-5')SSx133 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> I'AST \l'ATGR FILATGR CO\;PANY 12G01 132ND AVH NE �AS'I'\V\VH9�Itil3C <br /> (d25)814•3124 K1IiKLAND, NA 98034 O1/03i2008 <br /> PROPOSED USE OF BUILGING BUIleinp Meehanlca ndd�tion HEAT SOURCE <br /> PERMIT Combination Ptumbing W�RK -� N�eretton [iectric <br /> T'ypE Damolllion Sipn TYPE New as <br /> S rnkl r Re elrlMalnt ther <br /> CONTRACT PRICE OF WORK �449.00 CITY OF EVERET7 LOCAL SALES 7AX CODEIS 3105 <br /> WOFK DESCRIPTION �temeve/Rcplace Gas Nalcr lieater <br /> PLUM6ING MECHANICAL <br /> NO. PE OF FIXTU E OR ITE NO. TYPE OF FIXTURE OR ITEM <br /> _____ WATER CLOSET ______ A/C•AIHANDLING UNITS <br /> ___ BATHTUB _____ FORCED AIR SYSTEMS <br /> ____ LAVATORY (WASH BASIN) _____ HEAT PUMP <br /> __ SHOWER ___ UNIT HEATERS <br /> ____ KI7CHEN SINK 6 DISPOSAL ____ CLOTHES DRYER <br /> ___ DISHWASHER __ _ RANGE HOOD <br /> ___ LAUNDRV TRAY ___�__ WATER HEATER <br /> __ CLOTHES WASHER __� METAL FIREPLACEISTOVE <br /> _ URINAL ____ FIREPLACE INSERT <br /> __ DRINKING FOUNTAIN _^ GAS FIREPLACE <br /> ____ FLOOR DRAIN _`_ GAS RANGE <br /> ___ BACKFLOW PREVENTER �__ GAS PIPING <br /> _� SINK (SERVICEIBAWMOPIETC.) ___ EXHAUST FAN <br /> Dl'HER___ _�_ OTHER_______.�________ <br /> 1 HEREBY CERTIFY�HAT I HAVE READ AND EXAMINED THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAYJS A.'JO ORDINnNCES GOV[RNING THIS TYPE OF WORK V�ILL BE COMPLIED WIHT WHETl1ER SPECIFIE�HGREI <br /> OR NOT.THE GRAN7IRG OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOL/1TE OR CANCEI THE PROVISIOY']F ANY <br /> OTNER STATE OR LOCAL U1W kEGULATING CO�STRUCTIOY OR TNE PERFORMANCE OF CONSTRUCTION.THAT I Ah7 AU'HORIZEC <br /> 8Y THE OWNBR OF THIS PROPERTY TO PERPORM THE IJORK FOR WHICH APPLICAl104 IS A1ADE AND I COMPLY WITH THE S7A1'O <br /> CONTRACTORS LAW 1827 RCW�ND 29G.200 N41C. <br /> Signaturo of OwnedControc(orlAulhorized Ageni ��:-��- �f.�.,/.� Date 0!/18/2007 <br /> U1 a�i <br />