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PERMIT APPLICk. PION <br />CITY OF EVERETT PERMIT SERVICES <br />00� <br />3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 I <br />olszoa <br />ai <br />SITE ADDRES•' <br />PARCEL TAX I.D.# <br />PERMIT# <br />431 ROSE WAY. F. '1-10:11'. NVA 95203 <br />00541900001303 <br />M.c )3os <br />LEGAL <br />LOT N0. <br />BLOCK (TRACT <br />DE <br />OWNER <br />_ <br />ADDRESS <br />PHONE <br />130Ci:1RT, DONNA <br />431 ROSEWAY <br />431 <br />• I:VL•RI:TT,IVA 95203 <br />TENANTNAME <br />CONTACT NAME <br />PHONE <br />PANIFLA HILL <br />425 814-3.24 xl33 <br />CONTRACTOR <br />ADDRESS <br />CONTR LICENSE# <br />FAST WATER Ili ATFR COMPANTY <br />12601 132ND AVE NE <br />FASTWHC052DF <br />KIRKLAND, WA 98034 <br />02/16/2005 <br />PHONE (.125)x 14-3124 <br />PROPOSED USE OF BUILDING Building Mochanica WORK Addition HAT SOURCE <br />' lectdc <br />PERMIT Combination Pwmbing Alteration <br />TYPE Demolition Sign TYPE Naw as <br />rinkler RepalrlMatnt her <br />CONTRACT PRICE OF WORK 5349.00 CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br />WORK DESCRIPTION Rcnwcc Replace Electric Water I Icatcr <br />Ili <br />ELUMBING <br />TYPE OF FIXTURE OR ITEM <br />MECHANICAL <br />NO. TYPE OF FIXTURE R ITEM <br />NO. I <br />WATER CLOSET <br />_ <br />A/C-A/HANDLING UNITS <br />BATHTUB <br />—_____ <br />FORCED AIR SYSTEMS <br />____ <br />LAVATORY (WASH BASIN) <br />—_—_ <br />HEAT PUMP <br />SHOWER <br />—__ <br />UNIT HEATERS <br />KITCHEN SINK & DISPOSAL <br />CLOTHES DRYER <br />DISHWASHER <br />__ _ <br />RANGE HOOD <br />LAUNDRY TRAY <br />--�__ <br />WATER HEATER <br />CLOTHES WASHER <br />—_ _ <br />METAL FIREPLACE/STOVE <br />URINAL <br />FIREPLACE INSERT <br />DRINKING FOUNTAIN <br />—__ <br />GAS FIREPLACE <br />FLOOR DRAIN <br />—_—_ <br />GAS RANGE <br />BACKFLOW PREVENTER <br />—_ <br />GAS PIPING <br />_—_ <br />-- - <br />SINK (SERVICE/BAR/MOPIETC.) <br />—__ <br />EXHAUST FAN <br />OTHER----- <br />—�_ <br />OTHER ------------------ <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WIHT WHETHER SPECIFIED HERE( <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED <br />BY THE OWNER OF THIS F (OPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />Signature of OwnerlContractorlAuthorized AgeN ��jiG/ Date 05/13/2003 <br />u wi <br />