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From: 09/2712D06 12:25 p842 P.002/002 <br />PERMIT APPLICATION <br />��i��CtTY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERE7T, WA 98201, 425-257-8810 <br />' 092706 <br />SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br />5316 ROCFCLFGLLER AVE, EVERGTT, WA 98203 00495800601400 �� ��� _ <br />��,1,�, _;G <br />IEGAL lOT NO. BIOCK TRACT <br />OWNER ADDRESS PHONE <br />HlJLTS, TNYLA 5316 ROCIiEPGLLLR AVE (q25)34R-3735 <br />� LVLRLT"1', \VA 95203 <br />TENANT NAME CONTACT NAME PHONE <br />PANtELA I1ILL 425 81�4-3124 x133 <br />CONTRACTOR ADDRESS CONTR.LICENSE# <br />CAST \VATIR 1IEATER COMPANY 12G01 I32ND AVE NE fASTW W H94S[�C <br />(425)814-3124 ��-nND, NA 98034 01/03/2008 <br />PROPOSED USE OF BUILDING Bulldinp M�chan�ca Addlllon H T SOURCE <br />PERMIT Combinalion Plumbin0 WORK /�����Uon Elaelric <br />�'ypE DamollUon Slen TYPE New as <br />er Re eltlMain! thor <br />CONTRACT PRICE OF WORK �449.00 CITY OF EVERETT LOCAL SALES 7AX CODEIS 3105 <br />WORK DESCR�PTION Removc/Acplacc Gas \Vatcc tic�tcr <br />PLUMBING MECHANICAL <br />O. TY E OF F TURE OR ITE NO. OF FIXTURE OR ITE <br />_�_ WATER CLOSET _____ A/GA/HANDLIN,6 UNITS <br />____ BATHTU6 �� FORCEO AIR SYST( 1AS <br />___, LAVATORY (WASH BASIN) _ HEAT PUMP <br />�__ SHOWER _^ UNIT HEATERS <br />_ KITCHEN SINK 8 DISPOSAL ___ CLOTHES ORYER <br />__ DISHWASH[R _ RANGE HOOD <br />__�_ LAUNDRY TRAY 1_ WATER HEATER <br />______ CLOTHES WASHER _V METAL FIREPLACE/STOVE <br />_ URINAL ___ FIREPLACE INSERT <br />DRINKING FOUNTAIN _ GAS FIREPLACE <br />FLOOR DRAtN GAS RANGE <br />� BACKFLOW PREVENTER GAS PIPING <br />�_ SINK (SERVICFJ8AR/MOP/ETC.) _ EXHAUST FAN <br />____ OTHER _ OTHER_��_�_�_T <br />I HERE6Y CERTIFY THAT I HAVE READ AND EXAMINEO THIS APLICATION AND KNOW 7H6 SAME TO BE TRUE AND CORRECT, ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OP WORK WILL BE COMPLIEO WIHT WHETHER 5PECIFIED H[REI <br />OR NOT. THE GRANTING OF A PERMI7 DOES NOT PRESUME TO GNE AUi�HORITY TO VIOLATE OR CANCEL?HE PROVISI�iN OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONS7RUCTION OR THE f'ERFORMANCE OF CONSTRUCTION. THAT I AM AUTHOR12E0 <br />6Y lNE OWNC-R OF TNIS PROPERTY TO PERFORM THE WORK fOR WHICH APPLICAl10N IS MA�E AND 1 COMPLY WI7H TME STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />Slgnnturo of OwnorlControctor/Authorizod Agoni ���,� ��,- �a�e og�2�/200G <br />a� aai <br />